This document summarizes an alternate pathway for volatile organic compounds (VOCs) in contaminated groundwater to enter indoor air: through legacy sewer and plumbing systems. As sewer systems age, cracks and leaks develop allowing groundwater containing VOCs to enter sewer lines. VOCs volatilize into sewer air, which can then enter indoor air through failed vapor seals in building plumbing. Two case studies found high levels of tetrachloroethylene in indoor air linked to intersections of sewer lines with VOC plumes and failed plumbing seals. The document recommends considering sewer pathways and updating vapor intrusion models, and screening buildings for VOC contamination in sewer air and vapor seal integrity. Fixing leaks in sewer