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A critical analysis of in situ chemical oxidation (ISCO) projects was performed to characterize situations in which ISCO is being implemented, how design and operating parameters are typically employed, and to determine the performance results being achieved. This research involved design of a database, acquisition and review of ISCO project information, population of the database, and analyses of the database using statistical methods. Based on 242 ISCO projects included in the database, ISCO has been used to treat a variety of contaminants; however, chlorinated solvents are by far the most common. ISCO has been implemented at sites with varied subsurface conditions with vertical injection wells and direct push probes being the most common delivery methods. ISCO has met and maintained concentrations below maximum contaminant levels (MCLs), although not at any sites where dense nonaqueous phase liquids (DNAPL) were presumed to be present. Alternative cleanup levels and mass reduction goals have also been attempted, and these less stringent goals are met with greater frequency than MCLs. The use of pilot testing is beneficial in heterogeneous geologic media, but not so in homogeneous media. ISCO projects cost $220,000 on average, and cost on average $94/yd 3 of target treatment zone. ISCO costs vary widely based on the size of the treatment zone, the presence of DNAPL, and the oxidant delivery method. No case studies were encountered in which ISCO resulted in permanent reductions to microbial populations or sustained increases in metal concentrations in groundwater at the ISCO-treated site.

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Background:Multiple Northeast U.S. communities have discovered per- and polyfluoroalkyl substances (PFASs) in drinking water aquifers in excess of health-based regulatory levels or advisories. Regional stakeholders (consultants, regulators, and others) need technical background and tools to mitigate risks associated with exposure to PFAS-affected groundwater.Objectives:The aim was to identify challenges faced by stakeholders to extend best practices to other regions experiencing PFAS releases and to establish a framework for research strategies and best management practices.Methods and Approach:Management challenges were identified during stakeholder engagement events connecting attendees with PFAS experts in focus areas, including fate/transport, toxicology, and regulation. Review of the literature provided perspective on challenges in all focus areas. Publicly available data were used to characterize sources of PFAS impacts in groundwater and conduct a geospatial case study of potential source locations relative to drinking water aquifers in Rhode Island.Discussion:Challenges in managing PFAS impacts in drinking water arise from the large number of relevant PFASs, unconsolidated information regarding sources, and limited studies on some PFASs. In particular, there is still considerable uncertainty regarding human health impacts of PFASs. Frameworks sequentially evaluating exposure, persistence, and treatability can prioritize PFASs for evaluation of potential human health impacts. A regional case study illustrates how risk-based, geospatial methods can help address knowledge gaps regarding potential sources of PFASs in drinking water aquifers and evaluate risk of exposure.Conclusion:Lessons learned from stakeholder engagement can assist in developing strategies for management of PFASs in other regions. However, current management practices primarily target a subset of PFASs for which in-depth studies are available. Exposure to less-studied, co-occurring PFASs remains largely unaddressed. Frameworks leveraging the current state of science can be applied toward accelerating this process and reducing exposure to total PFASs in drinking water, even as research regarding health effects continues. https://doi.org/10.1289/EHP2727