“…TW contaminant mixtures and potential drivers/controls (e.g., source-water quality, treatment, premise plumbing) in a range of source-water vulnerability settings are acknowledged public-health data gaps globally ( Doria, 2010 ; Doria et al, 2009 ; Villanueva et al, 2014 ), in the US mainland ( Allaire et al, 2018 ; Pierce and Gonzalez, 2017 ; Sedlak, 2020 ) and in PR (e.g., Natural Resources Defense Council, 2017 ; U.S. Environmental Protection Agency, 2021c ) and are the foci of ongoing TW exposure research by U.S. Geological Survey (USGS), U.S. Environmental Protection Agency (EPA), NIEHS, Colorado School of Mines (Mines) and others (e.g., Bradley et al, 2020 ; Bradley et al, 2018 ; Bradley et al, 2021 ). In August 2018, the USGS, EPA, NIEHS, Mines, and University of Puerto Rico Mayaguez (UPR-M) conducted a spatial pilot assessment of expanded TW exposures (524 organic and 37 inorganic analytes) in 14 homes and commercial locations distributed across PR, including in the northern karst region to: 1) complement and expand on previous and ongoing efforts to identify potential additional TW contaminants that may contribute to adverse health outcomes and 2) continue to inform TW exposures and cumulative risk (exposure, toxicity/hazard: e.g., Moretto et al, 2017 ; National Research Council, 1983 ; U.S. Environmental Protection Agency, 2003 ) to human health across the US.…”