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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Matthew thanks for this. I had a small
chart that I was looking to expand to provide a “taxonomy” of
different methods. It is pretty simple, but could be perhaps useful if
expanded. <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>I think most of the examples you gave
would likely fit into the Occasional category? It seems that the examples you
gave might be included as examples in another column.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Stevan Gressitt<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'> <o:p></o:p></span></font></p>
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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Category<o:p></o:p></span></font></p>
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border-left:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Example<o:p></o:p></span></font></p>
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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Status<o:p></o:p></span></font></p>
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border-left:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Disposal process<o:p></o:p></span></font></p>
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<td width=118 valign=top style='width:88.6pt;border:solid windowtext 1.0pt;
border-left:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
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<tr>
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border-top:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal align=center style='text-align:center'><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>Mail<o:p></o:p></span></font></p>
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none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p class=MsoNormal><st1:State w:st="on"><st1:place w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>Maine</span></font></st1:place></st1:State><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'> legislation<o:p></o:p></span></font></p>
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none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>pending<o:p></o:p></span></font></p>
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<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>MDEA subcontract<o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.6pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
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<tr>
<td width=118 valign=top style='width:88.55pt;border:solid windowtext 1.0pt;
border-top:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Single event<o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>TRIAD Take back<o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>ongoing<o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Local Police sub ontract<o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.6pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
</td>
</tr>
<tr>
<td width=118 valign=top style='width:88.55pt;border:solid windowtext 1.0pt;
border-top:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Occasional<o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Quarterly <o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><st1:State w:st="on"><st1:place w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>PEI</span></font></st1:place></st1:State><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'><o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Environmental Agency<o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.6pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
</td>
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<td width=118 valign=top style='width:88.55pt;border:solid windowtext 1.0pt;
border-top:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Persistent, consistent <o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><st1:City w:st="on"><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:navy'>RUM</span></font></st1:City><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>, <st1:State w:st="on">BC</st1:State>, <st1:country-region w:st="on">UK</st1:country-region>,
<st1:place w:st="on"><st1:country-region w:st="on">Finland</st1:country-region></st1:place><o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>ongoing<o:p></o:p></span></font></p>
</td>
<td width=118 valign=top style='width:88.55pt;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Various<o:p></o:p></span></font></p>
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none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
</td>
</tr>
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<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<div>
<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>
<hr size=2 width="100%" align=center tabindex=-1>
</span></font></div>
<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> McCarron,
Matthew [mailto:MMcCarro@CIWMB.ca.gov] <br>
<b><span style='font-weight:bold'>Sent:</span></b> Friday, May 05, 2006 12:54
PM<br>
<b><span style='font-weight:bold'>To:</span></b> ilene.ruhoy@unlv.edu; gressitt<br>
<b><span style='font-weight:bold'>Cc:</span></b> Bill Lewry;
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste]
Pharmwaste Digest, Vol. 6,Issue 3 (RE: Non-incinerationtechniques fro
treatingRx expired products)</span></font><o:p></o:p></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>There are some collection models to look
at besides the HHW drop off. HHW drop off is in different levels of
maturity through out the country, people take medications with them everywhere,
but not household toxics. For the target audience of pharm waste,
convenience is key. HHW drop- off is rarely convenient, except to the
operators for costs and management reasons. These facilities on
average serve 4% of the local population. Studies have shown that if a
resident is more than 3 miles away from a facility, they are not likely to
participate. A very well run curbside HHW program will hit 16% of
the their population. Multi -family dwellings pose addition management
issues.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Here are some other collection models,
that have the same ubiquitous use and access as Pharmaceutical products:</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>1) Small Household batteries have a
voluntary disposal system set up by one of the "For
Profit" processors of these batteries. It is called the Big
Green Box, with the idea that people can drop off at any location and they are
mailed to a location that is authorized to treat them and manage the residuals
properly. This can be done by retailers, business, government and the HHW
groups. But they pay for the service. The cost can be subsidized or
passed on to the consumers. There is a consortium of manufactures that
take back all the rechargeable batteries call RBRC and pay for the
recycling of these, but they account for less than 10% of the household battery
sales.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>2) Cell Phones in <st1:State w:st="on"><st1:place
w:st="on">California</st1:place></st1:State> starting 7/1/06, if you sell them
you must take them back. If you sell over the internet you must provide a
return box for the old phone. The Cell phone manufacturer also have set
up the Wireless Foundation to recycle old cell phones, and they take them for
free. These costs will also be passed to consumers.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>3) There are manufacturer take back
programs for electronics in <st1:State w:st="on">Maine</st1:State> and in 2009
in <st1:State w:st="on"><st1:place w:st="on">Washington</st1:place></st1:State>.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>4) The Advanced Disposal fee or CRV system
for bottles, cans, oil, tires and TVs and computer monitors in <st1:State
w:st="on"><st1:place w:st="on">California</st1:place></st1:State> is another
method. There is widespread fraud in the recycling claims in these
programs. These are government run programs that authorized collection
networks for those materials. The lowest overhead rate for these programs
is about 20% of the fees collected. The manufacturers of these
materials could do better, but most don't want the cost and responsibility
and would rather defer to the government. </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>5) There are returnable container
programs for pesticides, beer kegs and bottles, milk bottles (old school throw
back, but growing with Organic milks) and propane tanks. These
programs are operated by the the manufacturers or bottling companies.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Once you collected the material, then what
is the best course? This question needs to be decided for each situation
in concert with the collection method. Each handling method raises
security and safety issues to be addressed. Dumping medication into a
barrel of diesel and sending for fuel blending is certainly a cheap and easy
(in some states) solution. This method poses other problems for regulated
materials mixed with non-regulated, transportation distance to fuel blending
facilities, and quality of incinerators processing this material. </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Certainly a national approach will bring
the most awareness and consistency to proper management of this material.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Matt McCarron</span></font><o:p></o:p></p>
<p class=MsoNormal><st1:State w:st="on"><st1:place w:st="on"><font size=2
color=blue face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:blue'>California</span></font></st1:place></st1:State><font size=2
color=blue face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:blue'> Integrated Waste Management Board</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>
<hr size=2 width="100%" align=center tabIndex=-1>
</span></font></div>
<p class=MsoNormal style='margin-bottom:12.0pt'><b><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma;font-weight:bold'>From:</span></font></b><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b><span style='font-weight:
bold'>On Behalf Of </span></b>ilene.ruhoy@unlv.edu<br>
<b><span style='font-weight:bold'>Sent:</span></b> Friday, May 05, 2006 7:54 AM<br>
<b><span style='font-weight:bold'>To:</span></b> gressitt<br>
<b><span style='font-weight:bold'>Cc:</span></b> 'Bill Lewry';
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] Pharmwaste
Digest, Vol. 6,Issue 3 (RE: Non-incinerationtechniques fro treatingRx expired
products)</span></font><o:p></o:p></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'><br>
Before the decision to recycle or incinerate, we have to GET the drugs. Having
said that, I understand the dangerous complexities regarding the collection of
narcotics and other highly desireable substances. Yet, there are many jobs in
this country that we would consider "dangerous". There are
precautions that can be put in place. Obviously, the "guard" cannot
have access to the box. Patroled stop added to police roster. The box should be
almost impenetrable. The box should be easily accessible and in a place where
it is well lit with a lot of pedestrian traffic - pharmacies, hospitals,
clinics, health district offices, police stations, etc. Collection by reverse distributors
would have to be often to decrease the amount of accumulation. Perhaps some
cameras as in gas stations and cabs. Heavy marketing as a public service. Etc. <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'> Whats
to stop Curly from holding up MDs and PharmDs, etc.? <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>Ilene
Ruhoy, MD<o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>702-339-8370<o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p style='margin-bottom:12.0pt'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><br>
</span></font><b><font size=2><span style='font-size:10.0pt;font-weight:bold'>"gressitt"
<<st1:PersonName w:st="on">gressitt@uninets.net</st1:PersonName>></span></font></b><br>
<font size=2><span style='font-size:10.0pt'>Sent by:
pharmwaste-bounces@lists.dep.state.fl.us</span></font><br>
<font size=2><span style='font-size:10.0pt'>05/04/2006 19:54 AST</span></font><br>
<br>
<font size=2><span style='font-size:10.0pt'>To:</span></font> <font size=2><span
style='font-size:10.0pt'>"'Bill Lewry'" <Bill_Lewry@kcmo.org>,
<pharmwaste@lists.dep.state.fl.us></span></font><br>
<font size=2><span style='font-size:10.0pt'>cc:</span></font> <br>
<font size=2><span style='font-size:10.0pt'>bcc:</span></font> <br>
<font size=2><span style='font-size:10.0pt'>Subject:</span></font> <font
size=2><span style='font-size:10.0pt'>RE: [Pharmwaste] Pharmwaste Digest, Vol. 6,Issue
3 (RE: Non-incineration techniques fro treatingRxexpiredproducts)</span></font><br>
<o:p></o:p></p>
<p style='margin-bottom:12.0pt'><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:navy'>I appreciate the
simplicity of the structure. </span></font><font color=black><span
style='color:black'><br>
<br>
<br>
<br>
</span></font><font size=2 color=navy face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:navy'>Just for a minute could I consult with my two
buddies out in the waiting room named, anonymously, Larry and Curly, Moe was
sick today and couldn’t make it even to the office. ( Doesn’t that
actually sound like a good reason to see a doctor?) </span></font><font
color=black><span style='color:black'><br>
<br>
</span></font><font size=2 color=navy face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:navy'>Larry has a new .38 and Curly has this newfangled
thing called a Kimber .45. They both have a shortage of oxycontin and have been
dumpster diving outside MD offices lately. Unsuccessfully. The “Anytown
Village Press” has just announced that HHW is going to have a Take-Back
and they are very very thirsty. Time for some target practice? Moe might even
be healthy by Saturday and he has a Beretta. </span></font><font color=black><span
style='color:black'><br>
<br>
<br>
<br>
</span></font><font size=2 color=navy face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:navy'>Here is their offer to the HHW folks on the
scheduled date and time: “We will take care of your waste problem, just
give us the box.” ( They were grinning.)</span></font><font
color=black><span style='color:black'><br>
<br>
<br>
<br>
</span></font><font size=2 color=navy face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:navy'>Oh yes, Moe regained health miraculously and also
had a mini-14.</span></font><font color=black><span style='color:black'><br>
<br>
<br>
<br>
</span></font><font size=2 color=navy face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:navy'>Your reply?</span></font><font color=black><span
style='color:black'><br>
<br>
<br>
<br>
</span></font><font size=2 color=navy face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:navy'>Stevan Gressitt, M.D.</span></font><font
color=black><span style='color:black'><br>
<br>
</span></font><font size=2 color=navy face=Arial><span style='font-size:10.0pt;
font-family:Arial;color:navy'>207-441-0291</span></font><o:p></o:p></p>
<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>
<hr size=4 width="99%" align=center>
</span></font></div>
<p class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<p><b><font size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
font-weight:bold'>From:</span></font></b><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'>Bill Lewry [<a
href="mailto:Bill_Lewry@kcmo.org">mailto:Bill_Lewry@kcmo.org</a>] </span></font><br>
<b><font size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
font-weight:bold'>Sent:</span></font></b><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'> Saturday, April 15, 2006 12:14 PM</span></font><br>
<b><font size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
font-weight:bold'>To:</span></font></b><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'> Stevan Gressitt;
pharmwaste@lists.dep.state.fl.us</span></font><br>
<b><font size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;
font-weight:bold'>Subject:</span></font></b><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'> RE: [Pharmwaste] Pharmwaste
Digest, Vol. 6, Issue 3 (RE: Non-incineration techniques fro treatingRx expired
products)</span></font><br>
<br>
<br>
<br>
To All:<br>
<br>
The interest seems high, the solution is appearing simple under the existing
framework if municipalities and states should so choose.<br>
<br>
Return it through HHW's (household hazardous waste Facilities.<br>
<br>
How: ??<br>
<br>
Relatively simply: <o:p></o:p></p>
<ul type=disc>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Affiliate HHW facilities with law enforcement
agencies, either at local, county, state or federal level. (considering
what they handle - they should be as matter of course??) <o:p></o:p></span></font></li>
<li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
mso-list:l0 level1 lfo1'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Have them contract with a DEA permitted
incinerator, or... <o:p></o:p></span></font></li>
<li class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:12.0pt;
mso-list:l0 level1 lfo1'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>By default, mixing with drum labelled D001 -
flammable liquid, NOS - consider the item destroyed in the blending
process. It could then be used as a fuel. DEA has the latitude to make
this determination should it so choose, as would local states or courts.<o:p></o:p></span></font></li>
</ul>
<p style='margin-bottom:12.0pt'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>Problem solved. <b><span style='font-weight:bold'>To
not use the simple, readily available and functional would seem to create
additional costs and issues for the public at large and call into question the
reasoning of those creating yet another burdensome hoop for citizens at large.</span></b>
(pharmacies could even collect and a milk run be set up whereby the pharmacies
could pay a nominal fee (part of the cost of doing business) for disposal
services.<br>
<br>
<img border=0 width=32 height=32 id="_x0000_i1027" src="HSPACE=5">"Stevan
Gressitt" <<st1:PersonName w:st="on">gressitt@uninets.net</st1:PersonName>><br>
<br>
<br>
<o:p></o:p></span></font></p>
<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
style='width:100.0%'>
<tr>
<td width="40%" valign=top style='width:40.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><b><font size=2 color=black face="Times New Roman"><span
style='font-size:10.0pt;color:black;font-weight:bold'>"Stevan
Gressitt" <<st1:PersonName w:st="on">gressitt@uninets.net</st1:PersonName>></span></font></b><br>
<font size=2 face=Courier><span style='font-size:10.0pt;font-family:Courier'>Sent
by: pharmwaste-bounces@lists.dep.state.fl.us</span></font><font face=Courier><span
style='font-family:Courier'> </span></font><br>
<br>
<font size=2><span style='font-size:10.0pt'>04/13/2006 08:06 PM</span></font><o:p></o:p></p>
</td>
<td width="60%" valign=top style='width:60.0%;padding:.75pt .75pt .75pt .75pt'>
<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
style='width:100.0%'>
<tr>
<td width="11%" valign=top style='width:11.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><img border=0 width=32 height=32
id="_x0000_i1028" src="HSPACE=5"></span></font><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><br>
</span></font><font size=2><span style='font-size:10.0pt'>To</span></font><o:p></o:p></p>
</td>
<td width="89%" valign=top style='width:89.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><img border=0 width=32 height=32
id="_x0000_i1029" src="HSPACE=5"><br>
</span></font><font size=2 face=Courier><span style='font-size:10.0pt;
font-family:Courier'>"'Jim Todd'"
<jim@wastenotwashington.org>,
<pharmwaste@lists.dep.state.fl.us></span></font><o:p></o:p></p>
</td>
</tr>
<tr>
<td width="11%" valign=top style='width:11.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><img border=0 width=32 height=32
id="_x0000_i1030" src="HSPACE=5"></span></font><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><br>
</span></font><font size=2><span style='font-size:10.0pt'>cc</span></font><o:p></o:p></p>
</td>
<td width="89%" valign=top style='width:89.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><img border=0 width=32 height=32
id="_x0000_i1031" src="HSPACE=5"></span></font><o:p></o:p></p>
</td>
</tr>
<tr>
<td width="11%" valign=top style='width:11.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><img border=0 width=32 height=32
id="_x0000_i1032" src="HSPACE=5"></span></font><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><br>
</span></font><font size=2><span style='font-size:10.0pt'>Subject</span></font><o:p></o:p></p>
</td>
<td width="89%" valign=top style='width:89.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><img border=0 width=32 height=32
id="_x0000_i1033" src="HSPACE=5"><br>
</span></font><font size=2 face=Courier><span style='font-size:10.0pt;
font-family:Courier'>RE: [Pharmwaste] Pharmwaste Digest, Vol. 6, Issue 3
(RE: Non-incineration techniques fro treatingRx expired products)</span></font><o:p></o:p></p>
</td>
</tr>
</table>
<p style='margin:0in;margin-bottom:.0001pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><o:p> </o:p></span></font></p>
<table class=MsoNormalTable border=1 cellpadding=0 width="100%"
style='width:100.0%'>
<tr>
<td width="38%" valign=top style='width:38.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><img border=0 width=32 height=32
id="_x0000_i1034" src="HSPACE=5"></span></font><o:p></o:p></p>
</td>
<td width="62%" valign=top style='width:62.0%;padding:.75pt .75pt .75pt .75pt'>
<p class=MsoNormal><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><img border=0 width=32 height=32
id="_x0000_i1035" src="HSPACE=5"></span></font><o:p></o:p></p>
</td>
</tr>
</table>
<p class=MsoNormal><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><o:p></o:p></span></font></p>
</td>
</tr>
</table>
<p><font size=2 face="Courier New"><span style='font-size:10.0pt;font-family:
"Courier New"'>I am interested as well. What happened to the incinerator permit
for</span></font><br>
<st1:place w:st="on"><font face="Courier New"><span style='font-family:"Courier New"'>Northern
California</span></font></st1:place><font face=Courier><span style='font-family:
Courier'>? Stevan Gressitt, M.D.</span></font><br>
<br>
<font face="Courier New"><span style='font-family:"Courier New"'>-----Original
Message-----</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>From:
pharmwaste-bounces@lists.dep.state.fl.us</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>[<a
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
On Behalf Of Jim Todd</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Sent:
Wednesday, April 12, 2006 1:48 PM</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>To:
pharmwaste@lists.dep.state.fl.us</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Subject:
[Pharmwaste] Pharmwaste Digest, Vol. 6,Issue 3 (RE:</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Non-incineration
techniques fro treatingRx expired products)</span></font><br>
<br>
<font face="Courier New"><span style='font-family:"Courier New"'>I share Ahmed
Hamza's interest in non-incineration technologies for</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>disposing of
unwanted pharmaceuticals. Recycling of plastic medicine</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>containers,
etc. is also of interest.</span></font><br>
<br>
<font face="Courier New"><span style='font-family:"Courier New"'>I would very
much appreciate learning about the list serve mentioned by</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Charlotte A.
Smith.</span></font><br>
<br>
<font face="Courier New"><span style='font-family:"Courier New"'>Jim Todd</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Project
Manager</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Pharmaceuticals
Take-Back Project</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>***********************</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>WA Citizens
for Resource Conservation</span></font><br>
<u><font color=blue face="Courier New"><span style='font-family:"Courier New";
color:blue'><a href="http://wastenotwashington.org/">http://wastenotwashington.org/</a></span></font></u><font
color=black><span style='color:black'><br>
</span></font><st1:Street w:st="on"><st1:address w:st="on"><font
face="Courier New"><span style='font-family:"Courier New"'>2021 3rd Ave</span></font></st1:address></st1:Street><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Seattle,
WA98121</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>206.441.1791</span></font><br>
<br>
<font face="Courier New"><span style='font-family:"Courier New"'>_______________________________________________</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Pharmwaste
mailing list</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Pharmwaste@lists.dep.state.fl.us</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a></span></font><br>
<br>
<br>
<font face="Courier New"><span style='font-family:"Courier New"'>_______________________________________________</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Pharmwaste
mailing list</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'>Pharmwaste@lists.dep.state.fl.us</span></font><br>
<font face="Courier New"><span style='font-family:"Courier New"'><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a></span></font><br>
<font face=Courier><span style='font-family:Courier'>_______________________________________________<br>
Pharmwaste mailing list<br>
Pharmwaste@lists.dep.state.fl.us<br>
<a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a></span></font><o:p></o:p></p>
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