[Pharmwaste] Re: Pharmwaste Digest, Vol 51, Issue 4

Brian Stenz brian at returnlogistics.com
Mon Jan 11 19:44:13 EST 2010


This is in addition to Allen g's response regarding MD household drug  
waste options.

There's a directory of waste-to-energy facilities at the following link:

http://www.wte.org/waste-energy-resources-a2985

If you download and open the xls file, you'll note there's three  
energy from waste facilities in MD. If where they live, their  
household waste pick up goes to one of these facilities, the  
generator may blend it in a plastic bag along with coffee grounds and  
put in with their curbside trash collection.

If the product is determined to be a hazardous waste, they could take  
it to their community household hazardous waste collection facility  
for appropriate disposal.

Brian Stenz
Return Logistics International Corporation
561-573-5538 cell
www.returnlogistics.com






On Jan 11, 2010, at 6:35 PM, pharmwaste-request at lists.dep.state.fl.us  
wrote:

> Send Pharmwaste mailing list submissions to
> 	pharmwaste at lists.dep.state.fl.us
>
> To subscribe or unsubscribe via the World Wide Web, visit
> 	http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste
> or, via email, send a message with subject or body 'help' to
> 	pharmwaste-request at lists.dep.state.fl.us
>
> You can reach the person managing the list at
> 	pharmwaste-owner at lists.dep.state.fl.us
>
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of Pharmwaste digest..."
> Today's Topics:
>
>    1. RE: need a contact in Maryland (Gilliam, Allen)
>    2. The Drug Take-Back Network (Leah Ann Lamb)
>    3. Re: Tests find antibiotic,	other contaminants in Tampa's
>       drinking water (article) (randsney at comcast.net)
>    4. RE: The Drug Take-Back Network (Gilliam, Allen)
>    5. RE: The Drug Take-Back Network (Gressitt, Stevan)
>
>
> The few bills I've seen something on were from: WA, FL, ME, CA, IL,  
> our 111=
> th Congress' HBs 1191 & 1359.
>
> Dr. Mireles, through his Community Medical Foundation for Patient  
> Safety (h=
> ttp://www.communityofcompetence.com/) should have the most  
> comprehensive li=
> sting of take-back, return and other innovative programs  
> nationwide.  Can't=
>  find it on their website, but it seems the map he showed last  
> August had p=
> harmaceutical disposal programs bunched up in the NE (Gressitt  
> territory), =
> all over CA, WA, a good smattering around WI, IN, IL and the Great  
> Leaks ar=
> ea.
>
> Is someone "out there" putting together a repository to answer  
> question lik=
> e yours?  We've created the problem, "Don't flush!", but can't  
> provide the =
> quick answers.  I've had several calls like this.  Our state just  
> marqueed =
> our 2nd take-back program, but if transportation/travel time is a  
> problem, =
> all I can answer is the kitty litter/coffee grounds/trash it  
> practice.  A n=
> ational "proper disposal" repository should be in every one of our  
> hands.
>
> Allen g
>
> -----Original Message-----
> From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste- 
> bounces at l=
> ists.dep.state.fl.us] On Behalf Of Tenace, Laurie
> Sent: Thursday, January 07, 2010 2:03 PM
> To: 'Pharmwaste at lists.dep.state.fl.us'
> Subject: [Pharmwaste] need a contact in Maryland
>
> Is there someone on the list serve from Maryland who can talk to  
> someone ab=
> out how to dispose of drugs from a deceased relative? If so, please  
> contact=
>  me for the contact information -
> Thanks very much!
> Laurie
>
> Laurie Tenace
> Environmental Specialist
> Waste Reduction Section
> Florida Department of Environmental Protection
> 2600 Blair Stone Rd., MS 4555
> Tallahassee FL 32399-2400
> P: 850.245.8759
> F: 850.245.8811
> Laurie.Tenace at dep.state.fl.us
>
> Mercury: http://www.dep.state.fl.us/waste/categories/mercury/ 
> default.htm
>
> Unwanted Medicine: http://www.dep.state.fl.us/waste/categories/ 
> medications/=
> default.htm
>
>
>
> ---
> Note: As a courtesy to other listserv subscribers, please post  
> messages to =
> the listserv in plain text format to avoid the garbling of messages  
> receive=
> d by digest recipients.
> ---
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> listinf=
> o/pharmwaste
> TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail  
> to phar=
> mwaste-unsubscribe at lists.dep.state.fl.us -- the subject line and  
> body of th=
> e e-mail should be blank. If you believe you may be subscribed with  
> a diffe=
> rent email address, please visit the subscriber listing at http:// 
> lists.dep=
> .state.fl.us/cgi-bin/mailman/roster/pharmwaste
> FOR PROBLEMS:  Contact List Administrator  
> Laurie.Tenace at dep.state.fl.us
> SEND MAIL to the list server at:  pharmwaste at lists.dep.state.fl.us
>
>
>
>
> From: "Leah Ann Lamb" <llamb at utah.gov>
> Date: January 11, 2010 1:25:14 PM EST
> To: "Allen Gilliam" <GILLIAM at adeq.state.ar.us>, "Laurie' 'Tenace"  
> <Laurie.Tenace at dep.state.fl.us>,  
> "'Pharmwaste at lists.dep.state.fl.us'"  
> <Pharmwaste at lists.dep.state.fl.us>
> Cc: "'Matthew C. Mireles'" <mirelesmc at earthlink.net>
> Subject: [Pharmwaste] The Drug Take-Back Network
>
>
> Another resources is "The Drug Take-Back Network" webpage created  
> by the Product Stewardship Institute at: http:// 
> www.takebacknetwork.com/
>
> >>> "Gilliam, Allen" <GILLIAM at adeq.state.ar.us> 1/11/2010 11:05 AM >>>
> Seems someone should have started a repository outlining what  
> individual states around the nation were (or weren't) allowing (via  
> legislation, regs or policy) as proper disposal.  And another  
> repository what each individual state require/recommended for  
> proper disposal.
>
> The few bills I've seen something on were from: WA, FL, ME, CA, IL,  
> our 111th Congress' HBs 1191 & 1359.
>
> Dr. Mireles, through his Community Medical Foundation for Patient  
> Safety (http://www.communityofcompetence.com/) should have the most  
> comprehensive listing of take-back, return and other innovative  
> programs nationwide.  Can't find it on their website, but it seems  
> the map he showed last August had pharmaceutical disposal programs  
> bunched up in the NE (Gressitt territory), all over CA, WA, a good  
> smattering around WI, IN, IL and the Great Leaks area.
>
> Is someone "out there" putting together a repository to answer  
> question like yours?  We've created the problem, "Don't flush!",  
> but can't provide the quick answers.  I've had several calls like  
> this.  Our state just marqueed our 2nd take-back program, but if  
> transportation/travel time is a problem, all I can answer is the  
> kitty litter/coffee grounds/trash it practice.  A national "proper  
> disposal" repository should be in every one of our hands.
>
> Allen g
>
> -----Original Message-----
> From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste- 
> bounces at lists.dep.state.fl.us] On Behalf Of Tenace, Laurie
> Sent: Thursday, January 07, 2010 2:03 PM
> To: 'Pharmwaste at lists.dep.state.fl.us'
> Subject: [Pharmwaste] need a contact in Maryland
>
> Is there someone on the list serve from Maryland who can talk to  
> someone about how to dispose of drugs from a deceased relative? If  
> so, please contact me for the contact information -
> Thanks very much!
> Laurie
>
> Laurie Tenace
> Environmental Specialist
> Waste Reduction Section
> Florida Department of Environmental Protection
> 2600 Blair Stone Rd., MS 4555
> Tallahassee FL 32399-2400
> P: 850.245.8759
> F: 850.245.8811
> Laurie.Tenace at dep.state.fl.us
>
> Mercury: http://www.dep.state.fl.us/waste/categories/mercury/ 
> default.htm
>
> Unwanted Medicine: http://www.dep.state.fl.us/waste/categories/ 
> medications/default.htm
>
>
>
> ---
> Note: As a courtesy to other listserv subscribers, please post  
> messages to the listserv in plain text format to avoid the garbling  
> of messages received by digest recipients.
> ---
> TO SUBSCRIBE, go to:   http://lists.dep.state.fl.us/cgi-bin/mailman/ 
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> of messages received by digest recipients.
> ---
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> listinfo/pharmwaste
> TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail  
> to pharmwaste-unsubscribe at lists.dep.state.fl.us -- the subject line  
> and body of the e-mail should be blank.
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>
>
> This response might brighten your day. Just remember that  
> fortification o=
> f a=20
> sample and extraction does not mean that residues of parent and  
> degradati=
> on=20
> products can be extracted when aged in the sample over time.
>
> Ron Ney
>
>
> ----- Original Message -----=20
> From: <Englert.Brian at epamail.epa.gov>
> To: <randsney at comcast.net>
> Cc: <Reding.Richard at epamail.epa.gov>
> Sent: Monday, January 04, 2010 7:33 AM
> Subject: Re: Pharmwaste Digest, Vol 50, Issue 9
>
>
> Mr. Ney,
>
> Thank you for your inquiry.  Your questions are very detailed and in
> some case would benefit from a search of the literature.  We cannot
> speak for all of EPA, and have answered the questions relevant to the
> development of EPA methods 1694 & 1698.
>
> Q1.    Does the EPA know the drug metabolites that are formed in the
> human
> body and excreted and will the methods detect these metabolites?
> A: The methods do not focus exclusively on metabolites but screen  
> for a
> broad range of compounds. Some metabolites are included. For instance,
> 1,7-Dimethylxanthine is a metabolite of caffeine. There are also a
> number of other tetracycline degradates in method 1694.
>
> Q2.    Does the EPA know the degradation products that are formed  
> in the
> sewage and will the methods detect these degradates?
> A: We have listed some metabolites in our answer to question 1.
>
> 3.    Can the EPA methods extract chemicals and their degradations
> products (all inclusive) that are bound to organic matter from the  
> sewage=
> =20
> and how
> was this proved?
> A: Methods 1694 and 1698 cover only the chemicals listed in Table 1 of
> each method. Single lab validation data for each method can be  
> found in
> the Tables at the end of the method. For this data, matrices were  
> spiked
> and extracted (with native and labeled compounds). Accuracy and
> precision were then calculated.
>
> 4=B7    Do you know the Koc (organic carbon partition coefficient)  
> value
> of the residues?
> A: These may be available in the literature - we did not measure Koc
> directly in the development of Methods 1694 and 1698.
>
> 5.    Can the EPA methods extract chemicals and degradation products
> (all inclusive) that are lipid soluble and if so how was this proved?
> A: Methods 1694 and 1698 focus on sewage matrices rather than lipids.
> Methods 1694 and 1698 are not all inclusive and cover only the  
> chemicals
> listed in each method in the matrices covered by the method. New  
> methods
> must be developed and validated for new sets of compounds and matrices
> on a case by case basis.
>
> 6=B7    Do you know the Kow (octanol water partition coefficient)  
> value o=
> f
> the residues?
> A: These may be available in the literature - we did not measure Kow
> directly in the development of Methods 1694 and 1698.
>
> 7.    It is known the residues that have a high Koc and Kow will  
> persist
> in the environment and be taken up by crops and animals do you have  
> studi=
> es
> on this?
> A: A search of the literature may help to provide more information on
> these types of studies. While our focus is on wastewater rather than
> crops, we are interested in these studies and do review this type of
> literature.
>
> 6.    Do you have any studies or know of studies on pharmaceuticals
> waste in wastewater and sewage sludge causing resistant strains of  
> bugs?
> A: Currently, we are not aware of such studies.
>
> Regards.
>
> Brian Englert, Ph.D. Environmental Scientist
> U.S. EPA, Engineering & Analytical Support Branch
> Engineering and Analysis Division
> Office of Science and Technology, Office of Water
> 1200 Pennsylvania Avenue NW (4303T)
> Washington, D.C. 20460
> Phone: 202-566-0754, FAX:  202-566-1053
> http://www.epa.gov/waterscience
> englert.brian at epa.gov
>
> Mail, FedEx, UPS, etc:
> 1301Constitution Avenue
> Rm. 6231AA (Connecting Wing)
> Washington, DC  20004
>
>
>
>   From:       <randsney at comcast.net>
>
>   To:         <pharmwaste at lists.dep.state.fl.us>, Richard=20
> Reding/DC/USEPA/US at EPA, Brian Englert/DC/USEPA/US at EPA
>
>   Cc:         <randsney at comcast.net>
>
>   Date:       12/17/2009 01:42 PM
>
>   Subject:    Re: Pharmwaste Digest, Vol 50, Issue 9
>
>
>
>
>
>
> To: Richard Reding, Reding.Richard at epamail.epa.gov and Brian Englert,
> englert.brian at epa.gov
>
> To: Others
>
>
>
>
>
> 1.    Does the EPA know the drug metabolites that are formed in the
> human body and excreted and will the methods detect these metabolites?
>
> 2.    Does the EPA know the degradation products that are formed in  
> the
> sewage and will the methods detect these degradates?
>
> 3.    Can the EPA methods extract chemicals and their degradations
> products (all inclusive) that are bound to organic matter from the  
> sewage=
> =20
> and how
> was this proved?
>
> =B7         Do you know the Koc (organic carbon partition coefficient)
> value of the residues?
>
> 4.    Can the EPA methods extract chemicals and degradation products
> (all inclusive) that are lipid soluble and if so how was this proved?
>
> =B7         Do you know the Kow (octanol water partition coefficient)
> value of the residues?
>
> 5.    It is known the residues that have a high Koc and Kow will  
> persist
> in the environment and be taken up by crops and animals do you have  
> studi=
> es
> on this?
>
> 6.    Do you have any studies or know of studies on pharmaceuticals
> waste in
> wastewater and sewage sludge causing resistant strains of bugs?
>
>
>
> Dr. Ron Ney
>
> ----- Original Message -----
> From: <pharmwaste-request at lists.dep.state.fl.us>
> To: <pharmwaste at lists.dep.state.fl.us>
> Sent: Thursday, December 17, 2009 10:02 AM
> Subject: Pharmwaste Digest, Vol 50, Issue 9
>
>
>> Send Pharmwaste mailing list submissions to
>> pharmwaste at lists.dep.state.fl.us
>>
>> To subscribe or unsubscribe via the World Wide Web, visit
>> http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste
>> or, via email, send a message with subject or body 'help' to
>> pharmwaste-request at lists.dep.state.fl.us
>>
>> You can reach the person managing the list at
>> pharmwaste-owner at lists.dep.state.fl.us
>>
>> When replying, please edit your Subject line so it is more specific
>> than "Re: Contents of Pharmwaste digest..."
>>
>
>
> ---------------------------------------------------------------------- 
> ---=
> -------
>
>
>
>> Today's Topics:
>>
>>   1. Federal Official: Avoid Bisphenol A Still waiting on FDA
>>      ruling (DeBiasi,Deborah)
>>   2. RE: Pharmwaste Digest, Vol 50, Issue 7 (Pistell, Ann E)
>>   3. EPA report available: Occurrence of Contaminants of Emerging
>>      Concern in Wastewater from Nine Publicly Owned Treatment Works,
>>      published August 2009 (DeBiasi,Deborah)
>>   4. Publicly Owned Treatment Works (POTW) Wastewater Sampling
>>      Study (Tenace, Laurie)
>>   5. That Tap Water Is Legal but May Be Unhealthy (Tenace, Laurie)
>>
>
>
> ---------------------------------------------------------------------- 
> ---=
> -------
>
>
>
>> ---
>> Note: As a courtesy to other listserv subscribers, please post
> messages to
>> the listserv in plain text format to avoid the garbling of messages
>> received by digest recipients.
>> ---
>> TO SUBSCRIBE, go to:
>> http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste
>> TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e- 
>> mail to
>
>> pharmwaste-unsubscribe at lists.dep.state.fl.us -- the subject line and
> body
>> of the e-mail should be blank.
>> If you believe you may be subscribed with a different email address,
>> please visit the subscriber listing at
>> http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste
>> FOR PROBLEMS:  Contact List Administrator
> Laurie.Tenace at dep.state.fl.us
>> SEND MAIL to the list server at:  pharmwaste at lists.dep.state.fl.us
>>
>
>
>
>
> ----- Original Message -----=20
> From: "Tenace, Laurie" <Laurie.Tenace at dep.state.fl.us>
> To: <Pharmwaste at lists.dep.state.fl.us>
> Sent: Tuesday, January 05, 2010 8:07 AM
> Subject: [Pharmwaste] Tests find antibiotic,other contaminants in  
> Tampa's=
> =20
> drinking water (article)
>
>
> http://www2.tbo.com/content/2010/jan/05/050530/tests-find- 
> antibiotic-othe=
> r-contaminants-tampas-dr/
> Tests find antibiotic, other contaminants in Tampa's drinking water
>
>
>
> TAMPA - The tap water that Tampa residents consume is contaminated  
> with l=
> ow=20
> levels of antibiotics, nicotine byproducts and a chemical used to  
> produce=
> =20
> firefighting foams.
>
> City and state officials say the levels of the contaminants - found  
> in=20
> recent tests of the city's drinking water system - are miniscule  
> and that=
> =20
> the city's water is safe to drink.
>
> But the presence of the contaminants raises questions about what is  
> comin=
> g=20
> out of the faucets in tens of thousands of households served by the  
> city'=
> s=20
> water system.
>
> State and federal environmental regulators say they know little  
> about=20
> possible health risks from the cocktail of contaminants that in  
> recent ye=
> ars=20
> have been found in water supplies across the country. They are only=20
> beginning to study the long-term effects.
>
> Without any regulation of these types of contaminants, the city  
> isn't=20
> required to report the findings of the recent tests to state and  
> local=20
> environmental regulators, or the public.
>
> Elias Franco, distribution division manager for Tampa's water  
> department,=
> =20
> said the city began voluntarily testing its water for  
> pharmaceutical=20
> contaminants two years ago.
>
> He said the contaminants found in tests conducted in May 2009  
> include the=
> =20
> antibiotic drug sulfamethoxzole; cotinine, a nicotine byproduct;  
> and=20
> perfluorooctane sulphonate, a chemical commonly used for metal  
> plating,=20
> photography and firefighting foams.
>
> The contaminants were found in samples of treated drinking water  
> taken fr=
> om=20
> the city's treatment plant, indicating that the existing filtration  
> proce=
> ss=20
> doesn't remove them.
>
> Franco said the city meets all federal and state regulations for  
> drinking=
> =20
> water quality and, for now, doesn't intend to make any wholesale  
> changes =
> to=20
> the water treatment system.
>
> "The industry continues to evaluate the latest technologies  
> available tha=
> t=20
> could prove reliable in evaluating the effects of these  
> contaminants,"=20
> Franco said in a statement, "and the City of Tampa will continue to  
> stay=20
> abreast of these developments."
>
> Neither the state nor federal government requires testing for  
> unregulated=
> =20
> contaminants such as those found in Tampa's drinking water and  
> regulators=
> =20
> haven't set safety limits.
>
> Only one of the contaminants found in Tampa's drinking water,=20
> perfluorooctane sulphonate, is regulated by federal heath  
> officials. Even=
> =20
> then, a health advisory is required to be issued only when the  
> contaminat=
> ion=20
> levels exceed 200 micrograms per liter. The level of the chemical  
> found i=
> n=20
> the city's drinking water system was only 1.4 micrograms per liter.
>
> "At this time, no research has shown that concentrations of these  
> substan=
> ces=20
> reported in recent studies pose a threat to drinking water  
> supplies," Dee=
> =20
> Ann Miller, a spokeswoman for the Florida Department of  
> Environmental=20
> Protection. "Research is ongoing, especially on the effects of  
> multiple=20
> chemical constituents at low concentrations."
>
> How does it get into the water?
>
> Tampa officials attribute the contaminants found in the recent  
> tests to=20
> pollution from the Hillsborough River, the city's primary source of  
> drink=
> ing=20
> water.
>
> When people take medicine or smoke, some of the chemicals are  
> absorbed by=
> =20
> the body, but the leftovers end up getting flushed down the toilet  
> and in=
> to=20
> the water supply.
>
> The wastewater is treated before it is discharged into reservoirs,  
> rivers=
>  or=20
> lakes.
>
> Leaking septic tanks also can eventually send contaminants into  
> drinking=20
> water systems, and regulators say pharmaceuticals can also permeate  
> aquif=
> ers=20
> deep underground, a source of about 90 percent of the state's  
> drinking wa=
> ter=20
> supplies.
>
> State environmental regulators say despite the recent emphasis on=20
> pharmaceuticals in the drinking water supplies, it's likely people  
> have b=
> een=20
> consuming them for a long time.
>
> "It is inevitable that small amounts of these compounds will be  
> released =
> to=20
> the environment," the DEP's Miller said. "It is also likely that  
> these=20
> compounds have been there for decades and have remained undetected  
> until =
> the=20
> recent development of analytical methods to enable their  
> identification a=
> nd=20
> quantification."
>
> And Tampa is not alone.
>
> Two years ago, an Associated Press investigation revealed how  
> scientists=20
> have found that water piped to millions of people nationwide  
> contains min=
> ute=20
> concentrations of contaminants ranging from tranquilizers to  
> painkillers =
> to=20
> antibiotics.
>
> While scientists have not established that people are harmed by  
> these dru=
> gs,=20
> the AP reported, laboratory tests conducted by research teams at=20
> universities in the U.S. and Europe have shown that tiny amounts  
> can have=
> =20
> ill effects on human cells, especially when ingested over decades,  
> possib=
> ly=20
> in combination with other drugs or in sensitive populations such as  
> child=
> ren=20
> and pregnant women.
>
> Since the AP report stirred congressional hearings and legislation,  
> the U=
> .S.=20
> Environmental Protection Agency has launched a survey to check for  
> 200=20
> chemical and microbial contaminants at 50 water treatment plants  
> across t=
> he=20
> nation, and health agencies are conducting research to clarify how  
> humans=
> =20
> might be harmed by drugs at low environmental levels.
>
> This research will help federal officials decide whether  
> regulations are=20
> needed.
>
> Locally, few local governments test for pharmaceuticals on their  
> own,=20
> relying instead on Tampa Bay Water, which provides water to  
> Hillsborough,=
> =20
> Pinellas and Pasco counties.
>
>> From 2002 to 2005, the U.S. Geological Survey tested groundwater  
>> supplie=
> d=20
>> by Tampa Bay Water to its members for pharmaceuticals and other=20
>> contaminants, but didn't find anything, according to Chris Owen,  
>> the=20
>> authority's water quality assurance officer.
>
> Hillsborough County has for several years tested for herbicides and  
> other=
> =20
> unregulated contaminants under an agreement with the EPA, but not  
> for=20
> antibiotics, steroids, growth hormones and other pharmaceuticals  
> that hav=
> e=20
> been detected in other water systems.
>
> "Even if we found something, we don't yet know what the health  
> risks are=20
> from these types of contaminants," said Luke Mulford,  
> Hillsborough's wate=
> r=20
> quality engineer.
>
> "And it's going to be a long time before we know."
>
> Contaminants in drinking water
>
> Recent tests of Tampa drinking water system found the following=20
> contaminants:
>
> Sulfamethoxzole: An antibiotic used to treat bacterial infections.  
> Level=20
> found in recent tests: 1.1 nanogram per liter ng/L
>
> Cotinine: Created by the breakdown of Nicotine in the human body.  
> Level=20
> found in recent tests: 2.3 nanogram per liter ng/L
>
> Perfluorooctane Sulphonate: Used to produce fire fighting foams and  
> coati=
> ngs=20
> for fabrics, leather, and some paper products, this chemical is  
> known to=20
> persist in the environment and to accumulate in human and animal  
> tissues.=
> =20
> Level found in recent tests: 1.4 nanogram per liter ng/L
>
>
> Laurie Tenace
> Environmental Specialist
> Waste Reduction Section
> Florida Department of Environmental Protection
> 2600 Blair Stone Rd., MS 4555
> Tallahassee FL 32399-2400
> P: 850.245.8759
> F: 850.245.8811
> Laurie.Tenace at dep.state.fl.us
>
> Mercury: http://www.dep.state.fl.us/waste/categories/mercury/ 
> default.htm
>
> Unwanted Medicine:=20
> http://www.dep.state.fl.us/waste/categories/medications/default.htm
>
>
>
>
>
>
> The Department of Environmental Protection values your feedback as  
> a=20
> customer. DEP Secretary Michael W. Sole is committed to  
> continuously=20
> assessing and improving the level and quality of services provided  
> to you=
> .=20
> Please take a few minutes to comment on the quality of service you  
> receiv=
> ed.=20
> Copy the url below to a web browser to complete the DEP survey:=20
> http://survey.dep.state.fl.us/? 
> refemail=3DLaurie.Tenace at dep.state.fl.us T=
> hank=20
> you in advance for completing the survey.
>
>
>
>
>
>
>
> From: "Gilliam, Allen" <GILLIAM at adeq.state.ar.us>
> Date: January 11, 2010 3:30:20 PM EST
> To: 'Leah Ann Lamb' <llamb at utah.gov>, Laurie' 'Tenace  
> <Laurie.Tenace at dep.state.fl.us>,  
> "'Pharmwaste at lists.dep.state.fl.us'"  
> <Pharmwaste at lists.dep.state.fl.us>
> Cc: "'Matthew C. Mireles'" <mirelesmc at earthlink.net>
> Subject: RE: [Pharmwaste] The Drug Take-Back Network
>
>
> thanx Leah Ann, i've got it bookmarked, now.
>
> hopefully, this and the one Dr. Mireles are the same?
>
> seems i heard stericycle had a mail back program for certain  
> circumstances too.
>
> allen g
> -----Original Message-----
> From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste- 
> bounces at lists.dep.state.fl.us] On Behalf Of Leah Ann Lamb
> Sent: Monday, January 11, 2010 12:25 PM
> To: Gilliam, Allen; Laurie' 'Tenace;  
> 'Pharmwaste at lists.dep.state.fl.us'
> Cc: 'Matthew C. Mireles'
> Subject: [Pharmwaste] The Drug Take-Back Network
>
> Another resources is "The Drug Take-Back Network" webpage created  
> by the Product Stewardship Institute at: http:// 
> www.takebacknetwork.com/
>
> >>> "Gilliam, Allen" <GILLIAM at adeq.state.ar.us> 1/11/2010 11:05 AM >>>
> Seems someone should have started a repository outlining what  
> individual states around the nation were (or weren't) allowing (via  
> legislation, regs or policy) as proper disposal.  And another  
> repository what each individual state require/recommended for  
> proper disposal.
>
> The few bills I've seen something on were from: WA, FL, ME, CA, IL,  
> our 111th Congress' HBs 1191 & 1359.
>
> Dr. Mireles, through his Community Medical Foundation for Patient  
> Safety (http://www.communityofcompetence.com/) should have the most  
> comprehensive listing of take-back, return and other innovative  
> programs nationwide.  Can't find it on their website, but it seems  
> the map he showed last August had pharmaceutical disposal programs  
> bunched up in the NE (Gressitt territory), all over CA, WA, a good  
> smattering around WI, IN, IL and the Great Leaks area.
>
> Is someone "out there" putting together a repository to answer  
> question like yours?  We've created the problem, "Don't flush!",  
> but can't provide the quick answers.  I've had several calls like  
> this.  Our state just marqueed our 2nd take-back program, but if  
> transportation/travel time is a problem, all I can answer is the  
> kitty litter/coffee grounds/trash it practice.  A national "proper  
> disposal" repository should be in every one of our hands.
>
> Allen g
>
> -----Original Message-----
> From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste- 
> bounces at lists.dep.state.fl.us] On Behalf Of Tenace, Laurie
> Sent: Thursday, January 07, 2010 2:03 PM
> To: 'Pharmwaste at lists.dep.state.fl.us'
> Subject: [Pharmwaste] need a contact in Maryland
>
> Is there someone on the list serve from Maryland who can talk to  
> someone about how to dispose of drugs from a deceased relative? If  
> so, please contact me for the contact information -
> Thanks very much!
> Laurie
>
> Laurie Tenace
> Environmental Specialist
> Waste Reduction Section
> Florida Department of Environmental Protection
> 2600 Blair Stone Rd., MS 4555
> Tallahassee FL 32399-2400
> P: 850.245.8759
> F: 850.245.8811
> Laurie.Tenace at dep.state.fl.us
>
> Mercury: http://www.dep.state.fl.us/waste/categories/mercury/ 
> default.htm
>
> Unwanted Medicine: http://www.dep.state.fl.us/waste/categories/ 
> medications/default.htm
>
>
>
> From: "Gressitt, Stevan" <Stevan.Gressitt at maine.gov>
> Date: January 11, 2010 6:08:12 PM EST
> To: "Leah Ann Lamb" <llamb at utah.gov>, "Allen Gilliam"  
> <GILLIAM at adeq.state.ar.us>, "Laurie' 'Tenace"  
> <Laurie.Tenace at dep.state.fl.us>, <Pharmwaste at lists.dep.state.fl.us>
> Cc: "Matthew C. Mireles" <mirelesmc at earthlink.net>
> Subject: RE: [Pharmwaste] The Drug Take-Back Network
>
>
> As I recall Charlotte Smith was explicitly reviewing that and may  
> have a summary available.
>
>
>
> Stevan Gressitt, M.D., Medical Director
>
> Office of Adult Mental Health Services
>
> Department of Health and Human Services
>
> Marquardt Building, 2nd Floor
>
> 11 State House Station
>
> 32 Blossom Lane
>
> Augusta, ME  04333-0011
>
> Ph: (207)287-4273
>
> Fax: (207)287-1022
>
> Cell Phone: (207) 441-0291
>
> E-Mail : stevan.gressitt at maine.gov
>
> http://www.maine.gov/dhhs/mh/
>
>
>
> Confidentiality Notice: This e-mail message, including any  
> attachments, is for the sole use of the intended recipient(s).  It  
> may contain confidential and privileged information.  Any  
> unauthorized review, copy, use, disclosure, or distribution is  
> prohibited.  If you are not the intended recipient, please note  
> that any dissemination, distribution or copying of this is strictly  
> prohibited.  Please contact me by reply e-mail or telephone and  
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>
> The Department of Health and Human Services (DHHS) does not  
> discriminate on the basis of disability, race, color, creed,  
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> provided as required by Title II of the Americans with Disabilities  
> Act of 1990 and in accordance with the Civil Rights Act of 1964 as  
> amended, Section 504 of the Rehabilitation Act of 1973, as amended,  
> the Age Discrimination Act of 1975, Title IX of the Education  
> Amendments of 1972 and the Maine Human Rights Act and Executive  
> Order Regarding State of Maine Contracts for Services.  Questions,  
> concerns, complaints or requests for additional information  
> regarding the ADA may be forwarded to DHHS’ ADA Compliance/EEO  
> Coordinators, 11 SHS-221 State Street, Augusta, Maine 04333,  
> 207-287-4289 (V), 207-287-3488 (V), 1-800-606-0215 (TTY).
>
>
>
>
>
> From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste- 
> bounces at lists.dep.state.fl.us] On Behalf Of Leah Ann Lamb
> Sent: Monday, January 11, 2010 1:25 PM
> To: Allen Gilliam; Laurie' 'Tenace; 'Pharmwaste at lists.dep.state.fl.us'
> Cc: 'Matthew C. Mireles'
> Subject: [Pharmwaste] The Drug Take-Back Network
>
>
> Another resources is "The Drug Take-Back Network" webpage created  
> by the Product Stewardship Institute at: http:// 
> www.takebacknetwork.com/
>
> >>> "Gilliam, Allen" <GILLIAM at adeq.state.ar.us> 1/11/2010 11:05 AM >>>
> Seems someone should have started a repository outlining what  
> individual states around the nation were (or weren't) allowing (via  
> legislation, regs or policy) as proper disposal.  And another  
> repository what each individual state require/recommended for  
> proper disposal.
>
> The few bills I've seen something on were from: WA, FL, ME, CA, IL,  
> our 111th Congress' HBs 1191 & 1359.
>
> Dr. Mireles, through his Community Medical Foundation for Patient  
> Safety (http://www.communityofcompetence.com/) should have the most  
> comprehensive listing of take-back, return and other innovative  
> programs nationwide.  Can't find it on their website, but it seems  
> the map he showed last August had pharmaceutical disposal programs  
> bunched up in the NE (Gressitt territory), all over CA, WA, a good  
> smattering around WI, IN, IL and the Great Leaks area.
>
> Is someone "out there" putting together a repository to answer  
> question like yours?  We've created the problem, "Don't flush!",  
> but can't provide the quick answers.  I've had several calls like  
> this.  Our state just marqueed our 2nd take-back program, but if  
> transportation/travel time is a problem, all I can answer is the  
> kitty litter/coffee grounds/trash it practice.  A national "proper  
> disposal" repository should be in every one of our hands.
>
> Allen g
>
> -----Original Message-----
> From: pharmwaste-bounces at lists.dep.state.fl.us [mailto:pharmwaste- 
> bounces at lists.dep.state.fl.us] On Behalf Of Tenace, Laurie
> Sent: Thursday, January 07, 2010 2:03 PM
> To: 'Pharmwaste at lists.dep.state.fl.us'
> Subject: [Pharmwaste] need a contact in Maryland
>
> Is there someone on the list serve from Maryland who can talk to  
> someone about how to dispose of drugs from a deceased relative? If  
> so, please contact me for the contact information -
> Thanks very much!
> Laurie
>
> Laurie Tenace
> Environmental Specialist
> Waste Reduction Section
> Florida Department of Environmental Protection
> 2600 Blair Stone Rd., MS 4555
> Tallahassee FL 32399-2400
> P: 850.245.8759
> F: 850.245.8811
> Laurie.Tenace at dep.state.fl.us
>
> Mercury: http://www.dep.state.fl.us/waste/categories/mercury/ 
> default.htm
>
> Unwanted Medicine: http://www.dep.state.fl.us/waste/categories/ 
> medications/default.htm
>
>
>
> ---
> Note: As a courtesy to other listserv subscribers, please post  
> messages to the listserv in plain text format to avoid the garbling  
> of messages received by digest recipients.
> ---
> TO SUBSCRIBE, go to:   http://lists.dep.state.fl.us/cgi-bin/mailman/ 
> listinfo/pharmwaste
> TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail  
> to pharmwaste-unsubscribe at lists.dep.state.fl.us -- the subject line  
> and body of the e-mail should be blank. If you believe you may be  
> subscribed with a different email address, please visit the  
> subscriber listing at http://lists.dep.state.fl.us/cgi-bin/mailman/ 
> roster/pharmwaste
> FOR PROBLEMS:  Contact List Administrator  
> Laurie.Tenace at dep.state.fl.us
> SEND MAIL to the list server at:  pharmwaste at lists.dep.state.fl.us
> ---
> Note: As a courtesy to other listserv subscribers, please post  
> messages to the listserv in plain text format to avoid the garbling  
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> TO SUBSCRIBE, go to:   http://lists.dep.state.fl.us/cgi-bin/mailman/ 
> listinfo/pharmwaste
> TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail  
> to pharmwaste-unsubscribe at lists.dep.state.fl.us -- the subject line  
> and body of the e-mail should be blank.
> If you believe you may be subscribed with a different email  
> address, please visit the subscriber listing at http:// 
> lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste
> FOR PROBLEMS:  Contact List Administrator  
> Laurie.Tenace at dep.state.fl.us
> SEND MAIL to the list server at:  pharmwaste at lists.dep.state.fl.us
> ---
> Note: As a courtesy to other listserv subscribers, please post  
> messages to the listserv in plain text format to avoid the garbling  
> of messages received by digest recipients.
> ---
> TO SUBSCRIBE, go to:   http://lists.dep.state.fl.us/cgi-bin/mailman/ 
> listinfo/pharmwaste
> TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail  
> to pharmwaste-unsubscribe at lists.dep.state.fl.us -- the subject line  
> and body of the e-mail should be blank.
> If you believe you may be subscribed with a different email  
> address, please visit the subscriber listing at http:// 
> lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste
> FOR PROBLEMS:  Contact List Administrator  
> Laurie.Tenace at dep.state.fl.us
> SEND MAIL to the list server at:  pharmwaste at lists.dep.state.fl.us

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