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SECTIQNSI X Risk Charaderizatiou <br /> The resulting sum is referred to by EPA as the hazard index (H.I) The H I approach assumes that <br /> multiple subthreshold exposures to several chemicals could result in an adverse health effect <br /> Where a receptor may be subject to chemicals of concern via multiple exposure pathways (e g, <br /> inhalation of volatilies and ingestion of water), the individual hazard indexes from all relevant pathways <br /> are summed to obtain the total H I for that receptor For multiple chemical exposures, the total H I <br /> might exceed 10 even if no single chemical intake exceeds its RfD If the total RI is less than 10, <br /> cumulative exposures to the chemicals of concern at the site are judged unlikely to result in adverse <br /> noncarcinogenic health effects If the sum is greater than 10, a more detailed and critical evaluation of <br /> potential noncarcmogenic health hazards may be warranted Such additional evaluation may include <br /> the consideration of the specific target organ(s)affected and mechanisms)of action of the chemicals of <br /> concern, and consideration of exposure assumptions and exposure concentrations used to estimate risk <br /> The assumption of additive effects reflected in the cumulative H.I is most properly applied to <br /> substances that induce the same effect by the same mechanism (EPA, 1989b) Consequently, <br /> application of the equation to a mixture of substances that are not expected to induce the same type of <br /> effects could overestimate the potential for adverse health effects The H I provides a rough measure <br /> of potential toxicity, but it is conservative and dependent on the quality of the experimental evidence <br /> Since the H I does not define dose-response relationships, its numerical value cannot be construed as a <br /> direct estimate of risk(EPA, 1989b), but only as a level of concern <br /> 6.2.2 Carcinogenic Risk <br /> Carcinogenic risk is defined as the upperbound incremental probability of an individual developing <br /> cancer over a lifetime as a result of exposure to a potential carcinogen The numerical estimate of <br /> excess lifetime cancer risk is calculated by multiplying the chemical intake averaged over a lifetime by <br /> the cancer SF as follows <br /> 1 Risk = Chemical Intake(mg/kg-day)x SF(mg/kg-day)"' <br /> EPA states that carcinogenic risks estimated using this approach are upper-bound estimates This <br /> 1 means that the actual risk is likely to be less than the predicted risk(EPA, 1989b) <br /> EPA policy must be considered when interpreting the significance of cancer risk estimates In the <br /> National Oil and Hazardous Substances Pollution Contingency Plan (NCP) (40 CFR Part 300), EPA <br /> states that "For known or suspected carcinogens, acceptable exposure levels are generally <br /> concentration levels that represents an excess upper-bound lifetime cancer risk to an individual between <br /> 10'4and 10'6 " The EPA further states, in the preamble to the NCP, that the 1 x 10-6nsk level should <br /> be used as a point of departure for establishing remediation goals for chemicals at specific hazardous <br /> � � ® T11097W73WONAWOCKTQMREPORT%SHOREpoI D0G13-FE84XW3000NA%SNA 6-2 <br />