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<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Here's a local perspective. In King County,
Washington which includes Seattle, wastewater goes to two large publicly owned
treatment works that each handle over 100,000,000 gallons a day of raw sewage.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>We only fully permit businesses that are categorical
industries listed in the Clean Water Act's pretreatment program specifications
described below or sites that discharge very large volumes of industrial waste
water. All hospitals in our area are covered by a county-level "blanket
discharge authorization" which allows them to avoid paying much lower fees
than for formal pretreatment permits and limits the frequency of inspections as
long as they follow listed guidelines. There are two main requirements:<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>- No discharge of
wastewaters that are prohibited from discharge<o:p></o:p></span></font></p>
<p class=MsoPlainText style='margin-left:.5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>- No discharge of
wastewaters that do not meet the criteria listed in the Laboratory Waste
Management Guidelines<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Chemicals, including pharmaceuticals, that designate
as federal or Washington State-only hazardous wastes are not to be disposed to
the sanitary sewer without written permission from our local authority. We
have not yet fully developed practical collection and transportation methods to
get pharmaceuticals that designate as hazardous waste to waste disposal
incinerators that can process pharmaceutical wastes. Therefore, we are not
enforcing this restriction, though we probably will at some point in the next
year or two.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>We strongly encourage hospitals and clinics to use the
Pharmaceutical Returns Industry for collection and processing of unused
no-longer-needed pharmaceuticals in lieu of disposal. As regulators, we need to
acknowledge that medical professionals are stuck with controlled substances
that they are used to disposing immediately (down the drain). Some
places keep controlled substances wastes locked up until their reverse
distributor takes it. For more information on this process, I recommend
looking at our brochure listing screened reverse distributors (they know what
RCRA is) at <a
href="http://www.govlink.org/hazwaste/publications/0509revDISTROhhw.pdf"
title="http://www.govlink.org/hazwaste/publications/0509revDISTROhhw.pdf">http://www.govlink.org/hazwaste/publications/0509revDISTROhhw.pdf</a>
You can also visit the Returns Industry Association's website at <a
href="http://www.returnsindustry.com" title="http://www.returnsindustry.com/">www.returnsindustry.com</a>
for more insight into their industry. <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>We currently have a working group from multiple
agencies in the process of developing ways to manage pharmaceutical and
controlled substances from residents and businesses that is efficient and
effective for generators of these wastes.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Dave Waddell, Lead Environmental Investigator<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Chair, Medical Industry Waste Prevention Roundtable<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Local Hazardous Waste Management Program in King
County<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>206-263-3069 fax 263-3070<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>-----Original Message-----<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>From: Gilliam, Allen [mailto:GILLIAM@adeq.state.ar.us]
<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Sent: Tuesday, January 24, 2006 7:59 AM<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>To: H2E - Hospitals for a Healthy Environment - Info
Exchange Listserv<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Cc: pharmwaste@lists.dep.state.fl.us<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Subject: [h2e] RE: [Pharmwaste] RE: any
legislation/ordinancesbanningdisposal of pharmaceuticals to sanitary<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>H2E -- Hospitals for A Healthy Environment Info
Exchange Listserve<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(h2e@email.sparklist.com)<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>No ramblings there Ross! You're "on the
button"!!! Especially your items #1 below.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>To further confuse/clarify for the non-regulators out
there, the state of Connecticut IS "the city" as their STATE
pretreatment program [40 cfr 403.10{e}] regulates (as deemed appropriate)
indirect, non-domestic dischargers FOR their state's publicly owned w.w.
treatment systems. There are 4 other states in the union that have chosen this
"proxy" method of implementing/enforcing the CWA's pretreatment
requirements.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Most all other (~40?) states (that EPA's delegated the
CWA's National Pollutant Discharge Elimination [key word here] System [NPDES])
have chosen to delegate implementation of the pretreatment program requirements
directly down to their cities' level. <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Clear as filter press sqweezins now?<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>I know there's other state pretreatment coordinators AND
some EPA HQ's folks following these listserves and am confused by their
silence.... <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Allen g <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>-----Original Message-----<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>From: Ross Bunnell
[mailto:ross.bunnell@po.state.ct.us] <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Sent: Tuesday, January 24, 2006 9:20 AM<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>To: Gilliam, Allen; h2e@email.sparklist.com;
gressitt@uninets.net<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Cc: pharmwaste@lists.dep.state.fl.us<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Subject: [Pharmwaste] RE: [h2e] RE: any
legislation/ordinancesbanningdisposal of pharmaceuticals to sanitary<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>To all:<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Pardon me for this response being somewhat off-target
for the original question, which focused on a municipal ordinance, but I think
it is relevant to the overall discussion on the Pharmwaste listserve.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Here at the Connecticut DEP, the staff that have been
primarily involved in the Pharmaceutical waste issue thus far have been our
waste program and our P2 staff. CT DEP's water staff have thus far had only
limited involvement. And, when we invited Charlotte Smith of PharmEcology to
speak to the Department a few months ago, is was emminently clear that the
majority of our water program staff (and by that I mean the NPDES and
Pretreatment program inspection, enforcement, and permitting staff) were almost
completely unaware of the issue. Some were surprised (and shocked) that it was
standard practice for some medical care facilities to dump pharmaceuticals down
the drain, and indicated the following:<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(1) under Connecticut's incorporation of the federal
Clean Water Act programs, this dispsoal would not be allowed, under the
principal that ony wastewaters (and not concentrated wastes) may be discharged
to the sewer; and,<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(2) the discharge of pharmaceutical wastewaters to the
sewer would most likely require a state pretreatment discharge permit. This
permit could be in the form of a site-specific, individual permit, or a state-wide
"general" permit for this specific discharge at any location in the
state that discharges it, registers for the general permit, and meets the terms
and conditions of the general permit.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Being a waste program person, I don't know if this
interpretation is unique to CT or can be adopted by any state that is
authorized to operate the Clean Water Act pretreatment requirements in lieu of
EPA. Nevertheless, my experiences with our water staff has led me to a number
of conclusions, namely:<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(1) The water permitting and enforcement staff (in CT
at least), have not fully gotten their arms around this issue yet, and are
somewhat further behind on the learning curve than the waste and P2 flolks.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(2) It seems to me, having monitored the Pharmwaste
listserve for some time now, that there appears to be an under-representation
by water permitting and enforcement types on the listserve, and that we may
wish to reach out to them and more aggressively engage them in the dialogue.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(3) The Clean Water Act programs (especially the
pretreatment rules) could provide an excellent vehicle for addressing the drain
disposal issue, at least at non-residential sites (e.g., health care provider
facilities), where most of the "bulk" drain disposal occurs (if not
the overall greatest volume of such disposal, which I have to suspect, would
remain households (it seems to me that local collection events, and not
necessarily a sewer ban, are the most effective way to deal with the household
material)).<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(4) The obvious conflict between the Clean Water Act
requirements and DEA requirements for the disposal of controlled substances is
clear under this analysis, and screams for resolution at the federal level
(i.e., between EPA and DEA).<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Just my thoughts. Sorry for rambling.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>>>> "Stevan Gressitt"
<gressitt@uninets.net> 01/23/06 10:39PM >>><o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Apologies for being late in replying but I had been
saving this for when I had a few minutes to go over the regs. I'll defer on
those for now. <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>At the bottom where you comment on the economics.
Could I suggest that the paradigm for costing out the value is missing
variables that actually make this a very simple sell.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>1. Cost of childhood accidental poisonings.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>2. Cost of burglary for drugs, and teenage
pharming<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>3. Cost of patient medication errors from
having accumulated a<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>confusing pile<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>4. Cost of environmental injury goes
here*someday<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>But there is now a 5th: The cost of disposal in third
world countries of badly donated drugs that don't meet the 1999 WHO Guidelines
and that now for example have a price tag of over 1 million Euros in Banda Aceh
alone for the 340 tons of unusable "donations." <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Maybe I'm overstating a bit, but those seem compelling
arguments and I simply added the word cost to each for the sake of this email.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Seems actually to make it more starkly important.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Stevan Gressitt, M.D.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>207-441-0291 <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> _____ <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>From: Gilliam, Allen [mailto:GILLIAM@adeq.state.ar.us]
<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Sent: Tuesday, November 22, 2005 2:25 PM<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>To: H2E - Hospitals for a Healthy Environment - Info
Exchange Listserv<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Cc: pharmwaste@lists.dep.state.fl.us <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Subject: [h2e] RE: any legislation/ordinances banning
disposal of pharmaceuticals to sanitary sewer?<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>H2E -- Hospitals for A Healthy Environment Info
Exchange Listserve<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(h2e@email.sparklist.com)<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>tough questions Dan!<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>easy, but time and resource intensive anwer? City
Pretreatment programs and their inspectors (doubt the epa will come up with the
regs). 40 cfr 403 (the national pretreatment regs which are self-implementing)
apply to all "non-domestic dischargers": <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>§ 403.2 Objectives of general pretreatment
regulations.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>By establishing the responsibilities of government and
industry to implement National Pretreatment Standards this regulation fulfills
three objectives:<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(a) To prevent the introduction of pollutants into
POTWs [publicly owned treatment works] which will interfere with the operation
of a POTW, including interference with its use or disposal of municipal
sludge; <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(b) To prevent the introduction of pollutants into
POTWs which will pass through [cause toxicity] the treatment works or otherwise
be incompatible with such works; and<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(c) To improve opportunities to recycle and reclaim
municipal and industrial wastewaters and sludges.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>best management practices or general permits can and
might be required, paperwork (daily procedure logs, manifests and/or bills of
laden) will have to be available for review upon request by the city's
inspectors that all meds/lab chems were disposed of off-site. these cities
have the authority for implementing the same type enforcement options that epa
and the states do including civil and/or criminal penalties, administrative
orders, severing your sewer service, imprisonment, publishing your facility's
name in the local newspaper for being non-compliant, etc. <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>that's why the clean water act created the program.
let the cities decide at their own discretion, what's allowed into their sewage
collection systems. who better to make the judgement than the folks protecting
its publicly own assets and have a chance to interact with their next door
neighbors, business leaders, civic clubs, council members, etc on a daily
basis?<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>it's in this office's lowly opinion that a federal or
state decision would side with the city. if you get down to the Act's
Pretreatment reg. bare bones, a city with a publicly owned sewer systerm is not
obligated to take ANY non-domestic wastewater.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>inducements/incentives? environmental stewardhip and
doing the right thing is a hard sell when there's no immediate monetary gains
mentioned in the same sentence (and, as previously mentioned, no absolute proof
of toxicity after it passes thru a city's w.w. treatment plant). avoiding
fines would be my reward and a plaque in the window an article in your
newletters/ads that your facility is a recognized environmental friendly
facility with a certified EMS (go H2E!) should help your bottom line in the long
run. <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>[sorry, but i've taken the liberty of cc'ing the
pharmawaste listserve at the risk of violating any unknown cross talking
policies as i know many of you are on both anyway. somebody chew me out if i
did bad....got my leather on today....].<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>alot of eyes still need to be opened and more
information gained nationwide.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>have a great holiday,<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>allen gilliam<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>adeq state pretreatment coordinator<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>501.682.0625 <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> -----Original Message-----<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>From: Dan Durett [mailto:durett@verizon.net] <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Sent: Monday, November 07, 2005 10:16 PM<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>To: H2E - Hospitals for a Healthy Environment - Info
Exchange Listserv<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Cc: h2e@email.sparklist.com <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Subject: [h2e] RE: any legislation/ordinances banning
disposal of pharmaceuticals to sanitary sewer? H2E -- Hospitals for A Healthy
Environment Info Exchange Listserve<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(h2e@email.sparklist.com)<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Banning the disposal of all pharmaceuticals to the
sanitary sewer through an ordinance will accomplish what level of reduction?
What time frame? How will the ordinance be implemented and monitored? What
enforcement model will be utilized (penalty of fines, impreisonmet or both?)
What inducements / incentives will be in place? Will there be awards relating
to compliance? How will the ordinance be applied? Will it first be applied to
university based research operations and hospitals? To private hospitals and
then public ones? Before adopting an ordinance have they looked at recent
state or federal court decisions? <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Not sure these questions are helpful. However, IF I
was siting on a city council, these are just some of the many questions I would
want to have<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>answers to prior to voting yes on this matter. <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Dan Durett, President<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Dan Durett & Associates<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>257 St. Marks Place<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Staten Island, NY 10301<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(B) 718-876-0718<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(F) 718-876-7988<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(C) 347-563-5965<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>durett@verizon.net <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> _____ <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>From: Barr, Marcia [mailto:barrm@upmc.edu] <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Sent: Monday, November 07, 2005 12:59 PM<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>To: H2E - Hospitals for a Healthy Environment - Info
Exchange Listserv<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Subject: [h2e] RE: any legislation/ordinances banning
disposal of pharmaceuticals to sanitary sewer?<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>H2E -- Hospitals for A Healthy Environment Info
Exchange Listserve<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(h2e@email.sparklist.com)<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Dave,<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Can you answer this?<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Marcia M. Barr, BSCE <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Division Director <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Center for Environmental Oncology <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Environmental Assessment, Monitoring & Control
Division <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Phone: 412.623.5783 <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Fax: 412.623.3201 <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>http://www.upci.upmc.edu/ceo <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>-----Original Message-----<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>From: Cecilia Deloach [mailto:cdeloach@hcwh.org] <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Sent: Monday, November 07, 2005 11:53 AM<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>To: H2E - Hospitals for a Healthy Environment - Info
Exchange Listserv<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Subject: [h2e] any legislation/ordinances banning
disposal of pharmaceuticals to sanitary sewer?<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>H2E -- Hospitals for A Healthy Environment Info
Exchange Listserve<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>(h2e@email.sparklist.com)<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Hi all-<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>One of the municipalities we are working with is
considering an ordinance to ban the disposal of all pharmaceuticals to the
sanitary sewer. Does anyone know of any other city, municipality, state or
other who has passed a similar ban? I know there is a lot of concern about
pharmaceuticals in wastewater, but just trying to get a sense of what
regulatory action has been taken on this area.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Many thanks in advance for your input.<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Cecilia DeLoach<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>H2E State Partnership Program Coordinator<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>1901 N. Moore Street, Suite 509<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Arlington, VA 22209<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Ph: 800-727-4179<o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>E-mail: cecilia.deloach@h2e-online.org <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>www.h2e-online.org <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoPlainText><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>---<o:p></o:p></span></font></p>
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