California Department of Health Services
                  The Environmental Health Investigations Branch
General concerns about biosolid composting and land application:
      
      Environmental Health Investigations Branch / 1515 Clay Street, Suite 1700, Oakland, CA 94612
(510) 622-4500
Internet Address:  www.dhs.ca.gov
May 5, 2005
Mr. Doug
Larkspur Road
Adelanto, CA 92301
Dear Mr.
The Environmental Health Investigations Branch (EHIB) of the Department of Health Services 
(DHS) is writing in response to your request for assistance in addressing health concerns 
related to operations at the Nursery Products, LLC (hereafter “Nursery Products”) biosolids 
(sewage sludge) composting facility in Adelanto, California. In April 2004, you contacted the 
federal Agency for Toxic Substances and Disease Registry (ATSDR) for assistance in 
addressing potential exposure and health concerns from the facility. DHS works under a 
cooperative agreement with ATSDR and is following up on your request.
Since April 2004, DHS staff has spoken with you on several occasions about health concerns 
you believe to be related to airborne exposures from Nursery Products. In July 2004, Tivo 
Rojas, a Health Educator with DHS, met with you along with other members of the Nursery 
Products Citizens Oversight Committee and participated in a tour of the Nursery Products 
facility. DHS staff noted that a great deal of dust was being generated during the windrow 
(piles of compost) turning process. Some odors were smelled in areas where the windrow 
turning was being conducted, but overall odors were characterized as being minimal.
To evaluate potential exposures, DHS staff obtained and reviewed the following 
data/information:
U.S. Environmental Protection Agency (USEPA) Plain English Guide to the EPA Part 503 
Biosolids Rule, September 1994;
Nursery Products Annual Report (2004) and February 2005 monitoring results;
San Bernardino County Environmental Health monthly inspection reports (February 2002 - 
January 2005);
Final Report: Air Monitoring at the Adelanto Converter Station, Los Angeles Department of 
Water and Power, January 12, 2005;
Laboratory report of runoff water from Adelanto Nursery: Los Angeles Department of Water 
and Power, March 31, 2005; and
Limited review of the scientific literature as related to biosolids composting and land 
application.
General concerns about biosolid composting and land application:
In 1993, the USEPA established regulations (Code of Federal Regulations Title 40, Part 503— 
commonly referred to as Rule 503) governing composting and land application of biosolids. 
Public health concerns related to these activities are increasing as facilities and land 
application sites become more prevalent. In 2002, the National Research Council (NRC) of the 
National Academy of Sciences released a report concluding that the potential adverse human 
health impact from exposure to biosolids is uncertain and there is a need for the USEPA to 
update the scientific basis of Rule 503. The NRC recommended the USEPA conduct additional 
studies looking at potential chemicals of concern in sewage sludge that are not currently 
regulated. The NRC also recommended that a number of activities be conducted related to 
pathogen/disease causing microorganisms (bacteria, viruses, and parasites) standards, as 
there is question to whether “current management controls are adequate to maintain minimal 
exposure concentrations over an extended period of time.” Rule 503 was implemented without 
an evaluation of the health risks from exposure to pathogens. The NRC stressed the need for 
USEPA to develop effective ways to monitor specific pathogens and evaluate the potential for 
regrowth of pathogens and bacterial toxins (endotoxin and exotoxins) that may occur after the 
waste treatment process (NRC, Gattie 2004). Concerns have also been raised about exposure 
to volatile chemical emissions, which are not regulated under Rule 503.
In studies discussing potential exposure to pathogen-contaminated dust and runoff water from 
land-applied biosolids and composting (biosolids and green/yard waste), the health concerns 
reported by the adjacent communities show similar patterns (NRC 2002, Herr 2002). 
Symptoms commonly reported include respiratory infections, skin rashes, burning eyes, 
burning lungs, difficulty breathing, and gastrointestinal effects. These effects can be more 
severe in immunocompromised individuals, individuals with chronic disease, and other 
sensitive populations. Similar health effects have been observed in workers at composting and 
sewage treatment facilities. In some studies, workers have been shown to have higher rates of 
airway mucous membrane complaints, respiratory inflammation, skin rashes, and diseases 
involving immunological hypersensitivity reactions (Gattie 2004, Herr 2002). In a cross-
sectional study, researchers investigated effects of bioaerosol (organic dusts - mixtures of air 
and microorganisms) polluted outdoor on airways of residents living next to a composting 
facility in Germany. Researchers compared self-reported health complaints to measurable 
bioaerosol pollution in residential outdoor air. The microorganisms measured in the study 
included, total bacteria, molds, thermophilic and thermotolerant actinomycetes. The study 
found detectable levels of bioaerosol pollution at a distance of 550 meters (maximum distance 
sampled in study), with the highest levels measured closest to the site. All exposure groups, 
including residents living the furthest away from the site (> 400-500 meters / ~1/3 mile) 
reported higher rates of health complaints compared to the unexposed controls. Researchers 
concluded, “this bioaerosol exposure in turn could be associated, as far as concentrations of 
bioaerosols and duration of exposure were concerned, with symptoms suggestive of airway 
inflammation also reported in respective workplaces” (Herr 2002).
Specific concerns about Nursery Products
In February 2002, Nursery Products was permitted and operations began in November of that 
same year. Based on the Nursery Products’ permit, the facility generates/prepares up to 1,440 
cubic yards per day of compost. The facility uses green waste and mostly Class B (designation 
with respect to pathogens) biosolids in their process. Pathogen levels in Class B biosolids are 
partially reduced (~90%) at the sewage treatment plant of origin. Through the composting 
process, pathogen levels are further reduced so that the finished product meets Class A 
designation. Under Rule 503, if pathogens are below detectable levels, then the biosolids meet 
the Class A designation.
DHS is aware that there have been numerous (in the hundreds) community complaints about 
odors, flies, and dust due to operations at Nursery Products. There have also been anecdotal 
reports of nausea, increases in bloody noses and respiratory effects in school children at 
Bradach Elementary School, believed to be due to releases from Nursery Products. According 
to county staff, Nursery Products addressed the fly and odor issue by changing their 
composting process (J. Adams, San Bernardino County Environmental Health, personal 
communication, February 24, 2005). We were also informed that Nursery Products is 
relocating its operation at some point this coming summer or fall. It is unclear whether the 
current location in Adelanto will be used for storage of composted material.
CDHS reviewed available data (listed above), in an effort to understand whether operations at 
the Nursery Products facility could be impacting public health. The first step is to determine 
whether there is a pathway for people to be exposed to contaminants from the site. DHS 
identified two potential pathways of exposure: 1) airborne releases of contaminants and 2) 
dust  surface water runoff.
The only surface water sampling obtained by DHS was collected by the Los Angeles 
Department of Water and Power, at the Adelanto Converter Station (ACS) on February 12, 
2005 and February 24, 2005. The ACS is located on the adjacent property directly north of 
Nursery Products. Six samples of runoff water from four locations on the ACS property were 
collected and measured for total coliforms, fecal coliforms, and Escherichia coli (E-coli). The 
laboratory analysis revealed high levels of these pathogens in all of the samples—total 
coliforms ranged from 300,000 to 1,100,000 MPN/100 ml (most probable number per 100 
milliliters of water); fecal coliforms ranged from 50,000 to 800,000 MPN/100 ml, and E-coli 
ranged from 50,000 to 280,000 MPN/100 ml.
There are no health-based standards that directly apply to this situation. As a means of 
comparison, we reviewed draft water quality standards for pathogens that apply to recreational 
waters (places where people swim or are likely to come into contact with water). The DHS Draft 
Guidance for Fresh Water Beaches describes bacteria levels that may require posted warning 
signs in order to protect public health. The closest scenario provided in the guidelines applies 
to storm drain waters adjacent to a “public beach,” which includes rivers, streams, and creeks. 
The following table lists the guidelines for “fresh water beaches” and adjacent storm drains 
and the range of pathogens detected in runoff water samples collected on the ACS property:
                  
                         
                      
                         
As shown, the levels of pathogens detected in runoff water collected at the ACS exceed 
guidelines for fresh water beaches and adjacent storm drains. It is possible that if someone 
(most likely ACS employees) were to have come into contact and ingest the runoff water 
(during the days and at the locations the samples were collected) they could have experienced 
flu like symptoms such as gastrointestinal distress, nausea, and vomiting. Since the facility is 
located in an area that is fairly remote with respect to residential populations, it is not likely that 
these types of exposures occurred to residents, but possibly to ACS employees.
From May 11, 2004, to October 21, 2004, Applied Measurement Science a consultant hired by 
the Los Angeles Department of Water and Power conducted air monitoring at the ACS 
property. The main purpose of the air monitoring was to understand the magnitude of dust 
impacts from Nursery Products on the ACS property. The air monitoring activities included 
collection of meteorological (MET) data (wind patterns), continuous hourly PM 10 (particulate 
matter less than 10 microns in aerodynamic diameter) measurements, directional integrated 
PM 10 (24 hour or longer periods) when ASC was determined to be downwind of Nursery 
Products, conductivity and ionic composition of dust. There were no samples measured for 
volatile chemicals. The authors of the report did note that on many days they smelled odors 
“immediately upon entering the ACS property on the north side of the site, several hundred 
yards from the Nursery Products facility.”
The ACS property is considered downwind of Nursery Products, as the prevailing wind 
direction is from the south / south-south west. At the ACS property, the 24-hour average 
California Ambient Air Quality Standard of 50 mg/m3 (micrograms per cubic meter air) was 
exceeded 74% of the time. At times, hourly concentrations were measured in excess of 1000 
mg/m3, with an average hourly PM 10 concentration of 123 mg/m3. The report shows that 68% 
of the hourly PM 10 measurements were for sectors originating at Nursery Products. The 
average PM 10 concentration at all the other locations (non-downwind) was 48.8 mg/m3.
From a public health perspective, PM 10 is considered among the most harmful of all air 
pollutants, that “when inhaled, these particles evade the respiratory system's natural defenses 
and lodge deep in the lungs.” (CARB). Potential health effects include exacerbation of asthma, 
reduced immune function, bronchitis, and other lung diseases. Sensitive populations (children, 
people with chronic disease, the elderly, and exercising adults) are more susceptible to these 
effects. According to the California Air Resources Board, recent studies suggest a link 
between PM 10 exposure and premature death in people suffering from heart and lung 
disease, especially the elderly.
It is not possible to determine whether PM 10 concentrations were elevated in other areas of 
Adelanto. The data does show that during the time period measured, operations at Nursery 
Products were responsible for generating a great deal of dust. Studies on the global transport 
of dust have shown that dust, especially small particles, have the ability to travel great 
distances.
As mentioned earlier, there is a concern about potential exposure to pathogen-contaminated 
dust. There is no site-specific air monitoring data measuring pathogens in dust. The 
monitoring data (finished compost and temperature data collected during the composting 
process) that is available indicates the facility is in concurrence with requirements under Rule 
503 at the time of those sampling/monitoring events. However, while these data may indicate 
that the finished compost meets pathogen requirements, it does not rule out the possibility for 
pathogens present in pre-composted materials to become airborne on dust and other 
particulates.
Another potential exposure concern relates to inhalation of volatile chemicals. A number of 
volatile chemicals, ammonia, hydrogen sulfide, and other sulfur and nitrogen based 
compounds are released from composting facilities. Currently, there are no monitoring 
requirements for these chemicals under Rule 503. In the Los Angeles area, the South Coast 
Air Quality Management District recognized the composting industry as a significant source of 
air pollution for criteria air pollutants and adopted measures (regulations) to reduce 
composting emissions. The City of Adelanto falls with in the jurisdiction of the Mojave Desert 
Air Quality Management District (MDAQMD). The MDAQMD has not adopted any volatile 
chemical emission standards associated with composting. Given the numerous odor 
complaints documented, it is clear that airborne releases of certain compounds occurred. 
However, DHS could not evaluate these exposures and potential health implications due to a 
lack of data.
In summary, we could not quantify exposures to site-related compounds due to a lack of data. 
However, there is sufficient information both site-related and in the scientific literature to 
suggest the possibility for some Adelanto residents (depending on time and location) to have 
been exposed to airborne contaminants (volatile chemicals), and dust originating from Nursery 
Products. While it is not possible to determine whether the health effects you have 
experienced were/are caused by exposures from Nursery Products, some of the symptoms you 
have expressed to DHS are consistent with biosolid-related exposures documented in the 
scientific literature.
Next Steps
DHS plans to make further inquiry with the various agencies (city, county, state, and federal), 
along with experts in the field, to explore ways in addressing public health concerns around 
this issue. As acknowledged by the NRC, the USEPA, and other experts in the field, many 
uncertainties need to be addressed in understanding the full range of public health issues 
associated with land application and composting of biosolids. We recognize that it may take 
years to answer these important questions. Thus, we believe it is prudent to explore the 
possibility for implementing precautionary measures at the local level.
We will keep you informed of our progress. If you have any questions, please do not hesitate 
to call Tracy Barreau (510) 622-4489.
Sincerely,
Tracy Barreau, REHS
Senior Environmental Scientist
Environmental Health Investigations Branch
Marilyn C. Underwood, Ph.D.
Acting Chief, Site Assessment Section
Environmental Health Investigations Branch
cc        Ms. Leslie Campbell
   Agency for Toxic Substances and Disease Control
   1600 Clifton Road, MS-E32
   Atlanta, GA 30329
Ms. Libby Vianu
Regional Representative
Agency for Toxic Substances and Disease Control
75 Hawthorne Street, Suite 100, HHS-1
San Francisco, CA 94105
Ms. Jackie Adams
County of San Bernardino
Environmental Health Services Division
385 North Arrowhead Avenue
San Bernardino, CA 92415-0160
Mr. Kevin Murphy
City of Adelanto
Department of Building and Safety
11600 Air Expressway
Adelanto, CA 92301
Ms. Lauren Fondahl
U.S. Environmental Protection Agency
75 Hawthorne Street
San Francisco, CA 94105
Mr. Ron Holtz
Adelanto Converter Station
Los Angeles Department of Water and Power
16800 Aster Road
Adelanto, CA 92301
Blind cc:
Ms. Jennifer Edge
Environmental Services
Los Angeles Department of Water and Power
111 N. Hope Street, Room 1050
Los Angeles, CA 90012
      
      | 
| Pathogen 
 | Range of Pathogens Detected in Runoff
 Water
 (MPN/100 ml)
 
 | Fresh Water Beach Standards
 (MPN/100 ml)
 
 | Storm Drain Standards
 (MPN/100 ml)
 
 |  
| Total Coliform 
 | 300,000 - 1,100,000 
 | 1,000 
 | 10,000 1,000 (if ratio of
 fecal/total exceed
 0.1)
 
 |  
| Fecal Coliform 
 | 50,000 - 800,000 
 | 200 
 | 400 
 |  
| E. coli: 
 | 50,000 - 280,000 
 | 126 
 |  | 
 |