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This project was supported by a grant from the Hazardous Substance Management Research Center, A National Science Foundation Industry/University Cooperative Center and A New Jersey Commission on Science and Technology Advanced Technology Center. We wish to acknowledge the contributions of Kathie Kelly-McNeil and Carol Natarelli, who have both been instrumental in providing the evaluation and care of our patients. We also appreciate the consultation of Bernard Goldstein, M.D. and Michael Gochfeld, M.D., Ph.D. in formulating this project Finally, we appreciate the support services of Joyce Kosmoski and Patricia Hutty in preparing this and other documents for this project.