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<div class=Section1>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Discussions, serious, about deputizing individuals to handle
that in the State of Maine ran up against strict credentialing issues. There
was a requirement for training at the state police academy and then annual
continuing education. Even for those not carrying a firearm. It became
prohibitively expensive, andhence has not been followed up on. We tried, but it
won’t work in Maine. WE also tried to propose retired police officers, but that
was deemed by the powers that be too expensive. It may get revisited some day
though. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Stevan Gressitt, M.D.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>207-441-0291<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><a href="http://www.mainebenzo.org">www.mainebenzo.org</a> <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>Bill
Lewry<br>
<b>Sent:</b> Wednesday, January 31, 2007 3:21 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us;
pharmwaste-bounces@lists.dep.state.fl.us<br>
<b>Subject:</b> Fw: [Pharmwaste] Question regarding incinerators<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p style='margin-bottom:12.0pt'><span style='font-size:10.0pt;color:purple'>-----
Forwarded by Bill Lewry/ws/kcmo on 01/31/2007 02:19 PM -----</span><o:p></o:p></p>
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<p class=MsoNormal style='margin-left:2.0in'><b><span style='font-size:10.0pt'>Bill
Lewry/ws/kcmo</span></b> <o:p></o:p></p>
<p style='margin-left:2.0in'><span style='font-size:10.0pt'>01/31/2007 02:20
PM</span><o:p></o:p></p>
</td>
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style='width:100.0%'>
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<td width="1%" style='width:1.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=58 height=1 id="_x0000_i1025"
src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><span
style='font-size:10.0pt'>To</span><o:p></o:p></p>
</td>
<td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1026"
src="cid:image002.png@01C74573.30E666B0"><br>
<span style='font-size:10.0pt'>"Volkman, Jennifer"
<Jennifer.Volkman@state.mn.us></span><o:p></o:p></p>
</td>
</tr>
<tr>
<td width="1%" style='width:1.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=58 height=1 id="_x0000_i1027"
src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><span
style='font-size:10.0pt'>cc</span><o:p></o:p></p>
</td>
<td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1028"
src="cid:image002.png@01C74573.30E666B0"><o:p></o:p></p>
</td>
</tr>
<tr>
<td width="1%" style='width:1.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=58 height=1 id="_x0000_i1029"
src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><span
style='font-size:10.0pt'>Subject</span><o:p></o:p></p>
</td>
<td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1030"
src="cid:image002.png@01C74573.30E666B0"><br>
<span style='font-size:10.0pt'>RE: [Pharmwaste] Question regarding
incinerators</span><a
href="Notes:///8625656F0053C351/32547D7F59F9E7E38525613200556E77/A56C31D81500B01586257274006BA55F"><span
style='text-decoration:none'><img border=0 width=12 height=14
id="_x0000_i1031" src="cid:image003.gif@01C74573.30E666B0" alt="Bill Lewry"></span></a><o:p></o:p></p>
</td>
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<p class=MsoNormal><span style='display:none'><o:p> </o:p></span></p>
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<tr>
<td width=58 valign=top style='width:43.5pt;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1032"
src="cid:image002.png@01C74573.30E666B0"><o:p></o:p></p>
</td>
<td width=336 valign=top style='width:3.5in;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1033"
src="cid:image002.png@01C74573.30E666B0"><o:p></o:p></p>
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<p style='margin-bottom:12.0pt'>My people are all officers now. Technically
we'd just need one working under the auspices of State or other designating
body.<br>
<br>
Very easy & effective program + free training under POST and
"Free" equipment on the PPE and monitoring side from Homeland.<br>
<img border=0 width=16 height=16 id="_x0000_i1034"
src="cid:image004.gif@01C74573.30E666B0"
alt="Inactive hide details for "Volkman, Jennifer" <Jennifer.Volkman@state.mn.us>">"Volkman,
Jennifer" <Jennifer.Volkman@state.mn.us><br>
<br>
<o:p></o:p></p>
<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%"
style='width:100.0%'>
<tr>
<td width="40%" valign=top style='width:40.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal style='margin-left:2.0in'><b><span style='font-size:10.0pt'>"Volkman,
Jennifer" <Jennifer.Volkman@state.mn.us></span></b><span
style='font-size:10.0pt'> </span><o:p></o:p></p>
<p style='margin-left:2.0in'><span style='font-size:10.0pt'>01/31/2007 01:20
PM</span><o:p></o:p></p>
</td>
<td width="60%" valign=top style='width:60.0%;padding:0in 0in 0in 0in'>
<table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%"
style='width:100.0%'>
<tr>
<td width="1%" style='width:1.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=58 height=1 id="_x0000_i1035"
src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><span
style='font-size:10.0pt'>To</span><o:p></o:p></p>
</td>
<td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1036"
src="cid:image002.png@01C74573.30E666B0"><br>
<span style='font-size:10.0pt'>"Bill Lewry"
<Bill_Lewry@kcmo.org>, "Volkman, Jennifer" <Jennifer.Volkman@state.mn.us></span><o:p></o:p></p>
</td>
</tr>
<tr>
<td width="1%" style='width:1.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=58 height=1 id="_x0000_i1037"
src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><span
style='font-size:10.0pt'>cc</span><o:p></o:p></p>
</td>
<td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1038"
src="cid:image002.png@01C74573.30E666B0"><br>
<span style='font-size:10.0pt'>"Jennifer Volkman"
<Jennifer.Volkman@state.mn.us>, <kcrecycling@earthlink.net>,
"Vizzier, Michael" <Michael.Vizzier@sdcounty.ca.gov>,
"Matthew Mireles" <mirelesmc@earthlink.net>,
<pharmwaste@lists.dep.state.fl.us>,
<pharmwaste-bounces@lists.dep.state.fl.us>,
<Pickrel.Jan@epamail.epa.gov></span><o:p></o:p></p>
</td>
</tr>
<tr>
<td width="1%" style='width:1.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=58 height=1 id="_x0000_i1039"
src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'><span
style='font-size:10.0pt'>Subject</span><o:p></o:p></p>
</td>
<td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1040"
src="cid:image002.png@01C74573.30E666B0"><br>
<span style='font-size:10.0pt'>RE: [Pharmwaste] Question regarding
incinerators</span><o:p></o:p></p>
</td>
</tr>
</table>
<p class=MsoNormal><span style='display:none'><o:p> </o:p></span></p>
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<tr>
<td width=58 valign=top style='width:43.5pt;padding:0in 0in 0in 0in'>
<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1041"
src="cid:image002.png@01C74573.30E666B0"><o:p></o:p></p>
</td>
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<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1042"
src="cid:image002.png@01C74573.30E666B0"><o:p></o:p></p>
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<p><br>
<span style='font-family:"Arial","sans-serif";color:blue'>I think you and your
staff have been deputized so that you can handle the controlled substances,
right? I know that one HHW program manager here says their sheriff will
deputize just about anyone for anything, but they don't want the
responsibility/accountability. But if that is of interest to some of you all,
you could pursue it.</span> <o:p></o:p></p>
<p class=MsoNormal style='margin-left:1.0in'><span style='font-family:"Tahoma","sans-serif"'>-----Original
Message-----<b><br>
From:</b> Bill Lewry [<a href="mailto:Bill_Lewry@kcmo.org">mailto:Bill_Lewry@kcmo.org</a>]
<b><br>
Sent:</b> Wednesday, January 31, 2007 12:53 PM<b><br>
To:</b> Volkman, Jennifer<b><br>
Cc:</b> Jennifer Volkman; kcrecycling@earthlink.net; Vizzier, Michael; Matthew
Mireles; pharmwaste@lists.dep.state.fl.us;
pharmwaste-bounces@lists.dep.state.fl.us; Pickrel.Jan@epamail.epa.gov<b><br>
Subject:</b> RE: [Pharmwaste] Question regarding incinerators</span><o:p></o:p></p>
<p style='mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:12.0pt;
margin-left:1.0in'><span style='font-size:13.5pt'>This is how we perform a
witnessed destruction of narcotics in KC.<br>
<br>
WE 1/2 fill a 55 gallon drum with an A fuel blend then follow what Jen has
stated below.<br>
<br>
Drum then goes out for incineration, in the case of non-controlled - A fuel.<br>
</span><img border=0 width=16 height=16 id="_x0000_i1043"
src="cid:image004.gif@01C74573.30E666B0"
alt="Inactive hide details for "Volkman, Jennifer" <Jennifer.Volkman@state.mn.us>"><span
style='font-size:13.5pt'>"Volkman, Jennifer"
<Jennifer.Volkman@state.mn.us></span><o:p></o:p></p>
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style='width:100.0%;margin-left:1.0in'>
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<p class=MsoNormal style='margin-left:4.0in'><b>"Volkman, Jennifer"
<Jennifer.Volkman@state.mn.us></b> <br>
Sent by: pharmwaste-bounces@lists.dep.state.fl.us<span style='font-size:13.5pt'>
</span><o:p></o:p></p>
<p style='margin-left:4.0in'>01/30/2007 01:48 PM<o:p></o:p></p>
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<p class=MsoNormal><img border=0 width=58 height=1 id="_x0000_i1044"
src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'>To<o:p></o:p></p>
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<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1045"
src="cid:image002.png@01C74573.30E666B0"><br>
<kcrecycling@earthlink.net>, "Jennifer Volkman"
<Jennifer.Volkman@state.mn.us>, <Pickrel.Jan@epamail.epa.gov>,
"Matthew Mireles" <mirelesmc@earthlink.net><o:p></o:p></p>
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src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'>cc<o:p></o:p></p>
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<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1047"
src="cid:image002.png@01C74573.30E666B0"><br>
"Vizzier, Michael" <Michael.Vizzier@sdcounty.ca.gov>,
pharmwaste@lists.dep.state.fl.us<o:p></o:p></p>
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<p class=MsoNormal><img border=0 width=58 height=1 id="_x0000_i1048"
src="cid:image001.png@01C74573.30E666B0"><o:p></o:p></p>
<p class=MsoNormal align=right style='text-align:right'>Subject<o:p></o:p></p>
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<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1049"
src="cid:image002.png@01C74573.30E666B0"><br>
RE: [Pharmwaste] Question regarding incinerators<o:p></o:p></p>
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<p class=MsoNormal><img border=0 width=1 height=1 id="_x0000_i1051"
src="cid:image002.png@01C74573.30E666B0"><o:p></o:p></p>
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<p style='mso-margin-top-alt:5.0pt;margin-right:0in;margin-bottom:12.0pt;
margin-left:1.0in'><span style='font-size:13.5pt;font-family:"Courier New"'><br>
<tt>I don't think legalities related to controlled substances are an issue</tt><br>
<tt>when the drugs are considered "destroyed" or non-usable for their</tt><br>
<tt>intended purpose. We could get a read from DEA on that. Some
other</tt><br>
<tt>issues that I can think of are:</tt><br>
<br>
<tt>1)HH have to follow directions: combine, mash, mix with vinegar, peel</tt><br>
<tt>labels;</tt><br>
<br>
<tt>2)I posed the idea as mixing all meds together, and adding vinegar (or</tt><br>
<tt>whatever anyone else thinks would work--it's cheap and nasty). In
that</tt><br>
<tt>scenario HH would not necessarily bring in waste in original containers,</tt><br>
<tt>which we harp on for all other waste streams, so there is an</tt><br>
<tt>inconsistency there (but it is also an opportunity to re-emphasize that</tt><br>
<tt>for all other waste streams). Or we could ask them to add vinegar,
etc.</tt><br>
<tt>to each bottle and not mix them together. This wouldn't be much of a</tt><br>
<tt>problem if you had a couple of bottles, but would get very tedious for a</tt><br>
<tt>larger cleanout;</tt><br>
<br>
<tt>3)Some drugs, like chemo, might need to be kept separate for waste</tt><br>
<tt>categorization and management reasons, but I think most all can go as</tt><br>
<tt>lab pack poisons for incineration--someone help me out on this one, I</tt><br>
<tt>don't pack waste. If we can go with one labpack category, this could
be</tt><br>
<tt>very simple. I also don't know of any incompatibility issues. Since
it</tt><br>
<tt>is all consummable there shouldn't be any.</tt><br>
<br>
<tt>4) Collection of data on waste meds would be dependent on whether HH</tt><br>
<tt>will provide info separately since tablets will be destroyed, liquid</tt><br>
<tt>quantities would be greater and many meds might be mixed together.</tt><br>
<tt>Labels on my Rx bottles come off real easily, so I think sticking them</tt><br>
<tt>on a piece of paper with an estimated count/quantity is simple, but</tt><br>
<tt>others won't want to bother. </tt><br>
<br>
<tt>If we can clarify #3, we should be good to go. #1 is only of mild</tt><br>
<tt>interest because there will be no way to tell if the nasty mix is or is</tt><br>
<tt>not a controlled substance and it shouldn't matter if it was.</tt><br>
<br>
<tt>Thanks,</tt><br>
<tt>Jnifr</tt><br>
<tt>-----Original Message-----</tt><br>
<tt>From: kcrecycling@earthlink.net [</tt></span><a
href="mailto:kcrecycling@earthlink.net"><tt><span style='font-size:13.5pt'>mailto:kcrecycling@earthlink.net</span></tt></a><tt><span
style='font-size:13.5pt'>] </span></tt><span style='font-size:13.5pt;
font-family:"Courier New"'><br>
<tt>Sent: Tuesday, January 30, 2007 12:33 PM</tt><br>
<tt>To: Jennifer Volkman; Pickrel.Jan@epamail.epa.gov; Matthew Mireles</tt><br>
<tt>Cc: Vizzier, Michael; pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>Subject: RE: [Pharmwaste] Question regarding incinerators</tt><br>
<br>
<br>
<tt>I like your idea Jennifer! It could simplify the collection</tt><br>
<tt>process---no need for a deputy officer to take the "controlled</tt><br>
<tt>stuff"---but how do the legalities play out? </tt><br>
<br>
<br>
<tt>kcrecycling@earthlink.net</tt><br>
<tt>EarthLink Revolves Around You.</tt><br>
<tt>Sue Studebaker, Director</tt><br>
<br>
<br>
<tt>> [Original Message]</tt><br>
<tt>> From: Volkman, Jennifer <Jennifer.Volkman@state.mn.us></tt><br>
<tt>> To: <Pickrel.Jan@epamail.epa.gov>; Matthew Mireles</tt><br>
<tt><mirelesmc@earthlink.net></tt><br>
<tt>> Cc: Vizzier, Michael <Michael.Vizzier@sdcounty.ca.gov>;</tt><br>
<tt><pharmwaste@lists.dep.state.fl.us></tt><br>
<tt>> Date: 1/29/2007 4:36:38 PM</tt><br>
<tt>> Subject: RE: [Pharmwaste] Question regarding incinerators</tt><br>
<tt>></tt><br>
<tt>> OK, another thought on this, maybe it has been thrown out already </tt><br>
<tt>> somewhere in the past and eliminated for reasons that I can probably </tt><br>
<tt>> come up with on my own... :)</tt><br>
<tt>></tt><br>
<tt>> How about if we have patients rip off all labels, mix all their pills </tt><br>
<tt>> and liquids together with vinegar and bring/mail them in for </tt><br>
<tt>> collection. The meds are effectively destroyed/unidentifiable so DEA </tt><br>
<tt>> won't be excited. The collectors ship them to a HW incinerator
in lab</tt><br>
<br>
<tt>> packs labeled as D001/poisons/pesticides, or the most appropriate DOT </tt><br>
<tt>> hazard class for the mixture.</tt><br>
<tt>></tt><br>
<tt>> Participants can stick the labels with their name/number blacked out </tt><br>
<tt>> to a sheet of paper with an estimation on the count/quantity for each </tt><br>
<tt>> if the collector would like to share that info with a program like the</tt><br>
<br>
<tt>> Unused and Expired Medicines Registry.</tt><br>
<tt>></tt><br>
<tt>> If we make it simple enough for collectors, maybe more will do it.</tt><br>
<tt>></tt><br>
<tt>> -----Original Message-----</tt><br>
<tt>> From: pharmwaste-bounces@lists.dep.state.fl.us</tt><br>
<tt>> [</tt></span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><tt><span
style='font-size:13.5pt'>mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></tt></a><tt><span
style='font-size:13.5pt'>] On Behalf Of </span></tt><span style='font-size:
13.5pt;font-family:"Courier New"'><br>
<tt>> Pickrel.Jan@epamail.epa.gov</tt><br>
<tt>> Sent: Friday, January 26, 2007 11:13 AM</tt><br>
<tt>> To: Matthew Mireles</tt><br>
<tt>> Cc: 'Vizzier, Michael'; pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>> Subject: RE: [Pharmwaste] Question regarding incinerators</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> "Characteristic" hazardous waste is any wastes that fall
into the </tt><br>
<tt>> following categories (see 40 CFR 261, Subpart C): Ignitability is 40 </tt><br>
<tt>> CFR 261.21; Corrosivity is 40 CFR 261.22; Reactivity is 40 CFR 261.23;</tt><br>
<br>
<tt>> Toxicity is 40 CFR 261.24.</tt><br>
<tt>></tt><br>
<tt>> If you are pouring something down a sink that ultimately makes its way</tt><br>
<br>
<tt>> to a publicly owned treatment works, please also read the Pretreatment</tt><br>
<br>
<tt>> Regulations specific and general prohibitions at 40 CFR 403.5. There </tt><br>
<tt>> is also a special reporting condition in the Pretreatment regulations </tt><br>
<tt>> regarding hazardous wastes in 40 CFR 403.12(p). </tt><br>
<tt>> ~*^*~*^*~*^*~*^*~*^*~*^*~ Jan Pickrel</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<br>
<tt>> Matthew Mireles</tt><br>
<br>
<tt>> <mirelesmc@earth</tt><br>
<br>
<tt>> link.net></tt><br>
<tt>To </tt><br>
<tt>>
"'Vizzier,
Michael'"</tt><br>
<br>
<tt>> 01/26/2007 11:56</tt><br>
<tt><Michael.Vizzier@sdcounty.ca.gov> </tt><br>
<tt>> AM
, Jan
Pickrel/DC/USEPA/US@EPA,</tt><br>
<br>
<tt>>
pharmwaste@lists.dep.state.fl.us</tt><br>
<br>
<tt>>
</tt><br>
<tt>> cc</tt><br>
<tt>></tt><br>
<br>
<tt>></tt><br>
<tt>Subject </tt><br>
<tt>>
RE: [Pharmwaste]
Question</tt><br>
<br>
<tt>>
regarding
incinerators</tt><br>
<br>
<tt>></tt><br>
<br>
<tt>></tt><br>
<br>
<tt>></tt><br>
<br>
<tt>></tt><br>
<br>
<tt>></tt><br>
<br>
<tt>></tt><br>
<br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> Good point. I haven't heard of D001 and imagine it would apply
to </tt><br>
<tt>> mostly anesthetic agents (a little more effective than gin). My </tt><br>
<tt>> background is biomedical engineering and I still remember the dreadful</tt><br>
<br>
<tt>> assignment of pouring unused jars of agents down the sink weekly.</tt><br>
<tt>></tt><br>
<tt>> Matthew Mireles</tt><br>
<tt>></tt><br>
<tt>> -----Original Message-----</tt><br>
<tt>> From: pharmwaste-bounces@lists.dep.state.fl.us</tt><br>
<tt>> [</tt></span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><tt><span
style='font-size:13.5pt'>mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></tt></a><tt><span
style='font-size:13.5pt'>] On Behalf Of </span></tt><span style='font-size:
13.5pt;font-family:"Courier New"'><br>
<tt>> Vizzier, Michael</tt><br>
<tt>> Sent: Friday, January 26, 2007 10:07 AM</tt><br>
<tt>> To: Pickrel.Jan@epamail.epa.gov; pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>> Subject: RE: [Pharmwaste] Question regarding incinerators</tt><br>
<tt>></tt><br>
<tt>> Another category of RCRA waste that sometimes captures pharmaceuticals</tt><br>
<br>
<tt>> is D001. D001 wastes exhibit the characteristic of ignitibility,
</tt><br>
<tt>> which is defined as liquids with a flash point less than 140 F, </tt><br>
<tt>> excluding aqueous solutions containing less than 24% alcohol - an </tt><br>
<tt>> exemption for gin & tonic.</tt><br>
<tt>></tt><br>
<tt>> Michael Vizzier</tt><br>
<tt>> County of San Diego</tt><br>
<tt>> Hazardous Materials Division</tt><br>
<tt>> (858) 495-5672</tt><br>
<tt>> -----Original Message-----</tt><br>
<tt>> From: pharmwaste-bounces@lists.dep.state.fl.us</tt><br>
<tt>> [</tt></span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><tt><span
style='font-size:13.5pt'>mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></tt></a><tt><span
style='font-size:13.5pt'>] On Behalf Of </span></tt><span style='font-size:
13.5pt;font-family:"Courier New"'><br>
<tt>> Pickrel.Jan@epamail.epa.gov</tt><br>
<tt>> Sent: Friday, January 26, 2007 7:11 AM</tt><br>
<tt>> To: pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>> Subject: RE: [Pharmwaste] Question regarding incinerators</tt><br>
<tt>></tt><br>
<tt>> See P-listed and U-listed wastes at 40 CFR 261.33.</tt><br>
<tt>> - -Jan</tt><br>
<tt>> ~*^*~*^*~*^*~*^*~*^*~*^*~</tt><br>
<tt>> Jan Pickrel</tt><br>
<tt>> Water Permits Division, Industrial Branch</tt><br>
<tt>> US Environmental Protection Agency</tt><br>
<tt>> phone: (202) 564-7904.</tt><br>
<tt>> fax: (202) 564-6431.</tt><br>
<tt>> pickrel.jan@epa.gov</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> Matthew Mireles</tt><br>
<tt>> <mirelesmc@earth</tt><br>
<tt>> link.net></tt><br>
<tt>To</tt><br>
<tt>> Sent by:
"'Taam, Damon'"</tt><br>
<tt>> pharmwaste-bounc
<DTaam@spokanecity.org>,</tt><br>
<tt>> es@lists.dep.sta</tt><br>
<tt>pharmwaste-bounces@lists.dep.stat</tt><br>
<tt>> te.fl.us
e.fl.us,</tt><br>
<tt>>
pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>></tt><br>
<tt>cc</tt><br>
<tt>> 01/26/2007 09:30
cecilia.deloach@h2e-online.org,</tt><br>
<tt>> AM
rachel.golden@ncmail.net,</tt><br>
<tt>>
'Elizabeth
Smith'</tt><br>
<tt>>
<smithce@flash.net>, 'Mary</tt><br>
<tt>>
Kohrell'</tt><br>
<tt>>
<kohrell.mary@co.calumet.wi.us>,</tt><br>
<tt>>
'Racheal
Johnson'</tt><br>
<tt>>
<rjohnson1@sleh.com>, "'Hampton,</tt><br>
<tt>>
Anita F'"</tt><br>
<tt>>
<Anita.F.Hampton@nhmccd.edu></tt><br>
<tt>></tt><br>
<tt>Subject</tt><br>
<tt>>
RE: [Pharmwaste]
Question</tt><br>
<tt>>
regarding
incinerators</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> Damon,</tt><br>
<tt>> Thanks for wealth of information you provided on this thread.
Can you</tt><br>
<br>
<tt>> point to me specific RCRA references regarding pharmaceutical items </tt><br>
<tt>> being classified as both or either hazardous waster and/or solid </tt><br>
<tt>> waste? I have been searching for these references and have not found</tt><br>
<tt>any</tt><br>
<tt>> determination on general classification specific to pharmaceuticals.</tt><br>
<tt>I</tt><br>
<tt>> conclude that in practice we don't group pharmaceuticals with
"medical</tt><br>
<br>
<tt>> waste", and I'm not sure if there's a uniform acceptance of
grouping </tt><br>
<tt>> them as hazardous waste or solid waste, except perhaps certain items, </tt><br>
<tt>> such as antineoplastics and radioactive therapeutic agents.
Would </tt><br>
<tt>> RCRA address both prescripts and OTC? When do drugs become
hazardous </tt><br>
<tt>> waste, after expiry date, when no longer used by patients/consumer, </tt><br>
<tt>> when they appear in trash cans or landfill?</tt><br>
<tt>></tt><br>
<tt>> Our Foundation has been collecting data on returned drugs from various</tt><br>
<br>
<tt>> collection events throughout the country. Any info you can
provide, </tt><br>
<tt>> specifically concerning RCRA references, would be helpful. So
far, we</tt><br>
<br>
<tt>> have coded nearly 5,000 items, mainly to get a snapshot of the types </tt><br>
<tt>> of drugs, quantity (actual pill count) returned, reason why they are </tt><br>
<tt>> returned. We also code average wholesale price, environmental
hazard </tt><br>
<tt>> potential (based on the Swedish database: persistence, </tt><br>
<tt>> bioaccumulation, and toxicity), as well as potential occupational </tt><br>
<tt>> hazard exposure. Workers at solid waste treatment facilities probably </tt><br>
<tt>> are exposed to some level. Both DEA and EPA are not specific to </tt><br>
<tt>> occupational exposure, and the RCRA cites I discovered mention the </tt><br>
<tt>> authority and responsibility of OSHA in this matter.</tt><br>
<tt>></tt><br>
<tt>> I agree with you that this problem extremely complex. Your </tt><br>
<tt>> contribution to our discussion and the elucidation of just the basic </tt><br>
<tt>> classification of pharmaceutical and personal care products as </tt><br>
<tt>> hazardous waste and/or solid waste are both helpful and intriguing.
</tt><br>
<tt>> I'm sure others will have additional comments.</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> Matthew C. Mireles, Ph.D., M.P.H.</tt><br>
<tt>> President and CEO</tt><br>
<tt>> Community Medical Foundation for Patient Safety</tt><br>
<tt>> 6800 West Loop South, Suite 190</tt><br>
<tt>> Bellaire, Texas 77401</tt><br>
<tt>> Phone and fax: 832-778-7777</tt><br>
<tt>> www.communityofcompetence.com</tt><br>
<tt>> cc</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> From: pharmwaste-bounces@lists.dep.state.fl.us</tt><br>
<tt>> [</tt></span><a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><tt><span
style='font-size:13.5pt'>mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></tt></a><tt><span
style='font-size:13.5pt'>] On Behalf Of Taam, </span></tt><span
style='font-size:13.5pt;font-family:"Courier New"'><br>
<tt>> Damon</tt><br>
<tt>> Sent: Thursday, January 25, 2007 7:45 PM</tt><br>
<tt>> To: pharmwaste-bounces@lists.dep.state.fl.us;</tt><br>
<tt>> pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>> Cc: rachel.golden@ncmail.net; cecilia.deloach@h2e-online.org</tt><br>
<tt>> Subject: RE: [Pharmwaste] Question regarding incinerators</tt><br>
<tt>></tt><br>
<tt>> HI all;</tt><br>
<tt>></tt><br>
<tt>> RCRA is the federal law that manages waste. It is divided into two</tt><br>
<tt>> categories: Hazardous waste (Subtitle C) and Solid Waste/garbage </tt><br>
<tt>> (Subtitle D). Pharmaceuticals fall into both categories, each of these</tt><br>
<br>
<tt>> categories have very specific regulations to follow. Managing the </tt><br>
<tt>> disposal of a hazardous waste is very costly, fortunately most </tt><br>
<tt>> pharmaceuticals fall into the solid waste classification. If the </tt><br>
<tt>> wastes comes from a household they are exempt from the hazardous waste</tt><br>
<br>
<tt>> regulations and therefore are classified as a solid wastes. Some </tt><br>
<tt>> States like WA and CA also have their own hazardous waste laws that </tt><br>
<tt>> are more stringent than the federal rules and need to be complied </tt><br>
<tt>> with. Pharmaceutical wastes are typically divided into three </tt><br>
<tt>> categories: Controlled substances, Legend drug, and Over the counter </tt><br>
<tt>> drugs. Controlled substances are regulated by the DEA. The DEA has </tt><br>
<tt>> very specific rules which need to be complied with, and the penalties </tt><br>
<tt>> for non-compliance are steep and serious. Currently, the DEA does not </tt><br>
<tt>> allow anyone other than the prescribed patient, a DEA licensed </tt><br>
<tt>> company(reverse</tt><br>
<tt>> distributor) and law enforcement entity manage controlled substances.</tt><br>
<tt>> The EPA is also serious about how and who manages hazardous waste. The</tt><br>
<tt>> problem is that DEA requires controlled substances to be destroyed and</tt><br>
<tt>> made unusable (to avoid reuse and abuse of the drug) via an approved</tt><br>
<tt>> process. Typically, that means incineration in an approved facility.</tt><br>
<tt>> There are not many facilities that are DEA & EPA approved for the</tt><br>
<tt>> disposal of controlled substances and hazardous waste. Most of the DEA</tt><br>
<tt>> approved facilities are like Spokane Waste to Energy Facility. Our</tt><br>
<tt>> facility is a clean modern Waste to Energy facility and should not be</tt><br>
<tt>> confused with incinerators of the past. They are built with</tt><br>
<tt>> sophisticated combustion and air pollution controls systems. Both</tt><br>
<tt>dioxin</tt><br>
<tt>> and mercury are controlled and regulated to levels that are minimal</tt><br>
<tt>and</tt><br>
<tt>> not a health risk. These facilities are built to destroy organic waste</tt><br>
<tt>> of which 95% of the pharmaceuticals are. Pharmaceuticals in WA are not</tt><br>
<tt>> regulated as a Dangerous Waste(State Hazardous) as long as they are</tt><br>
<tt>> disposed of in facilities such as Spokane's. For more information see</tt><br>
<tt>> our website: www.solidwaste.org Clearly pharmaceuticals need to</tt><br>
<tt>> destroyed and not discharged into our rivers, lakes and our oceans.</tt><br>
<tt>> Landfills do not destroy the products, they store them for our future</tt><br>
<tt>> generations to manage. Other technologies do exist but are</tt><br>
<tt>developmental</tt><br>
<tt>> and have yet to commercially prove themselves as effective, reliable</tt><br>
<tt>and</tt><br>
<tt>> cost effective. Pharmaceuticals, like garbage isn't homogeneous and</tt><br>
<tt>can</tt><br>
<tt>> vary greatly on it's makeup and characteristics, therefore any new</tt><br>
<tt>> technology will need to address many types of pharmaceuticals.</tt><br>
<tt>></tt><br>
<tt>> Medical waste is an undefined term, but specifically is seen as waste </tt><br>
<tt>> from a medical facility. That in it's self is a wide range of wastes: </tt><br>
<tt>> sharps, paper, body parts, infectious waste, drugs, plastic trays, </tt><br>
<tt>> etc. Some view it as just infectious waste. Needless to say it is a </tt><br>
<tt>> label, and needs to be managed properly and not create a potential </tt><br>
<tt>> problem. Medical waste incinerators of the past do not exist anymore </tt><br>
<tt>> due to new requirements. They have either been modified with new </tt><br>
<tt>> technology or just shut down, mostly the later. Compliance with the </tt><br>
<tt>> new regulation are extensive and therefore are expensive. On the plus </tt><br>
<tt>> side, any existing combustion facilities are very clean, do a much </tt><br>
<tt>> better job and have less an impact on our environment.</tt><br>
<tt>></tt><br>
<tt>> Hazardous waste incinerators (vs Solid Waste combustors) burn at much </tt><br>
<tt>> higher temperatures but have similar air pollution control devices and</tt><br>
<br>
<tt>> are licensed and dedicated to destroying hazardous waste. Typically </tt><br>
<tt>> hazardous waste incinerators utilize a lot of supplemental fuels to </tt><br>
<tt>> maintain the high temperature destruction environment 4000F+, whereas </tt><br>
<tt>> a municipal Waste to Energy facility will operate in the 2500F range </tt><br>
<tt>> with supplemental fuel for startup and shutdown only. There are trade </tt><br>
<tt>> offs, higher temperatures guarantee 100% destruction of all </tt><br>
<tt>> organics(necessary for hazardous waste) but also create an environment</tt><br>
<br>
<tt>> that generates large quantities of NOX emissions. I hope this helps </tt><br>
<tt>> you understand the complexity of the problem and the miriad of </tt><br>
<tt>> regulations that need to be complied with.</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> Damon M.K. Taam</tt><br>
<tt>> Spokane Regional Solid Waste System</tt><br>
<tt>> 808 Spokane Falls Blvd.</tt><br>
<tt>> Spokane, WA 99201</tt><br>
<tt>></tt><br>
<tt>> (509) 625-6580 Office</tt><br>
<tt>> (509) 625-6537 Fax</tt><br>
<tt>></tt><br>
<tt>> -----Original Message-----</tt><br>
<tt>> From: [</tt></span><a
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><tt><span
style='font-size:13.5pt'>mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></tt></a><tt><span
style='font-size:13.5pt'>] On</span></tt><span style='font-size:13.5pt;
font-family:"Courier New"'><br>
<tt>Behalf</tt><br>
<tt>> Of gressitt</tt><br>
<tt>> Sent: Wednesday, January 24, 2007 5:25 PM</tt><br>
<tt>> To: 'Cecilia DeLoach'; 'Bill Lewry'; 'Volkman,
Jennifer'</tt><br>
<tt>> Cc: pharmwaste-bounces@lists.dep.state.fl.us;</tt><br>
<tt>> pharmwaste@lists.dep.state.fl.us; 'rachel golden'</tt><br>
<tt>> Subject: RE: [Pharmwaste] Question regarding
incinerators</tt><br>
<tt>> I would be interested in the same.</tt><br>
<tt>> Stevan Gressitt, M.D.</tt><br>
<tt>> 207-441-0291</tt><br>
<tt>> www.mainebenzo.org</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> From: pharmwaste-bounces@lists.dep.state.fl.us</tt><br>
<tt>> [</tt></span><a
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><tt><span
style='font-size:13.5pt'>mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></tt></a><tt><span
style='font-size:13.5pt'>] On Behalf Of</span></tt><span style='font-size:13.5pt;
font-family:"Courier New"'><br>
<tt>> Cecilia DeLoach</tt><br>
<tt>> Sent: Friday, January 19, 2007 12:06 PM</tt><br>
<tt>> To: 'Bill Lewry'; 'Volkman, Jennifer'</tt><br>
<tt>> Cc: pharmwaste-bounces@lists.dep.state.fl.us;</tt><br>
<tt>> pharmwaste@lists.dep.state.fl.us; 'rachel golden'</tt><br>
<tt>> Subject: RE: [Pharmwaste] Question regarding
incinerators</tt><br>
<tt>></tt><br>
<tt>> Hi all-</tt><br>
<tt>></tt><br>
<tt>> I'm wondering if any of you are familiar with
other acceptable</tt><br>
<tt>> treatment technologies for the disposal of
non-RCRA</tt><br>
<tt>pharmaceutical</tt><br>
<tt>> waste. Many of you are likely familiar with our
organization-</tt><br>
<tt>> Hospitals for a Healthy Environment (H2E). And we
are concerned</tt><br>
<tt>> about a placing a new reliance on medical or
municipal waste</tt><br>
<tt>> incinerators at a time when we are working hard
to decrease the</tt><br>
<tt>> necessity of burning any hospital generated waste
(due to</tt><br>
<tt>concerns</tt><br>
<tt>> around dioxin generation and mercury emissions in
particular).</tt><br>
<tt>></tt><br>
<tt>> Have there been any discussions on this list
about other</tt><br>
<tt>approved</tt><br>
<tt>> technologies for the destruction of non-RCRA
pharm waste? Is</tt><br>
<tt>> anyone aware of any testing of autoclaves,
alkaline hydrolysis,</tt><br>
<tt>> microwaves or other "treatment
technologies" for pharm waste?</tt><br>
<tt>></tt><br>
<tt>> I'd be very interested in hearing from you if so.</tt><br>
<tt>></tt><br>
<tt>> Many thanks,</tt><br>
<tt>> Cecilia</tt><br>
<tt>></tt><br>
<tt>> Cecilia DeLoach</tt><br>
<tt>> H2E State Partnership Program Coordinator</tt><br>
<tt>> 1901 N. Moore Street, Suite 509</tt><br>
<tt>> Arlington, VA 22209</tt><br>
<tt>> Ph: 800-727-4179</tt><br>
<tt>> E-mail: cecilia.deloach@h2e-online.org</tt><br>
<tt>> www.h2e-online.org</tt><br>
<tt>></tt><br>
<tt>> -----Original Message-----</tt><br>
<tt>> From:
pharmwaste-bounces@lists.dep.state.fl.us</tt><br>
<tt>> [</tt></span><a
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"><tt><span
style='font-size:13.5pt'>mailto:pharmwaste-bounces@lists.dep.state.fl.us</span></tt></a><tt><span
style='font-size:13.5pt'>] On</span></tt><span style='font-size:13.5pt;
font-family:"Courier New"'><br>
<tt>Behalf</tt><br>
<tt>> Of Bill Lewry</tt><br>
<tt>> Sent: Friday, January 19,
2007 11:23 AM</tt><br>
<tt>> To: Volkman, Jennifer</tt><br>
<tt>> Cc:
pharmwaste-bounces@lists.dep.state.fl.us;</tt><br>
<tt>>
pharmwaste@lists.dep.state.fl.us; rachel golden</tt><br>
<tt>> Subject: RE: [Pharmwaste]
Question regarding incinerators</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> Rachel:</tt><br>
<tt>></tt><br>
<tt>> Jennifer is absolutely
correct here - one additional</tt><br>
<tt>caveat</tt><br>
<tt>> - if the medical waste is a
controlled substance it must</tt><br>
<tt>go</tt><br>
<tt>> to a DEA approved
incinerator.</tt><br>
<tt>> (Embedded image moved to
file: pic08324.gif)Inactive hide</tt><br>
<tt>> details for "Volkman,
Jennifer"</tt><br>
<tt>>
<Jennifer.Volkman@state.mn.us>"Volkman, Jennifer"</tt><br>
<tt>>
<Jennifer.Volkman@state.mn.us></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>>
"Volkma</tt><br>
<tt>>
n,</tt><br>
<tt>>
Jennife</tt><br>
<tt>>
r" (Embedded
image moved to file:</tt><br>
<tt>>
<Jennif pic27799.gif)</tt><br>
<tt>>
er.Volk</tt><br>
<tt>To</tt><br>
<tt>>
man@sta (Embedded
image moved to</tt><br>
<tt>>
te.mn.u file:
pic15653.gif)</tt><br>
<tt>>
s>
"rachel golden"</tt><br>
<tt>>
Sent</tt><br>
<tt><rachel.golden@ncmail.net></tt><br>
<tt>>
by:
,</tt><br>
<tt>>
pharmwa</tt><br>
<tt><pharmwaste@lists.dep.stat</tt><br>
<tt>>
ste-bou
e.fl.us></tt><br>
<tt>>
nces@li (Embedded image moved to file:</tt><br>
<tt>>
sts.dep pic07701.gif)</tt><br>
<tt>>
.state.</tt><br>
<tt>cc</tt><br>
<tt>>
fl.us
(Embedded image moved to</tt><br>
<tt>>
file: pic28841.gif)</tt><br>
<tt>>
(Embedded
image moved to file:</tt><br>
<tt>>
01/17/2 pic04404.gif)</tt><br>
<tt>>
007</tt><br>
<tt>Subject</tt><br>
<tt>>
03:32
(Embedded image moved to</tt><br>
<tt>>
PM
file: pic15729.gif)</tt><br>
<tt>>
RE: [Pharmwaste] Question</tt><br>
<tt>>
regharding incinerators</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>>
(Embedded
image moved to file:</tt><br>
<tt>>
pic19215.gif)</tt><br>
<tt>>
(Embedded image moved</tt><br>
<tt>to</tt><br>
<tt>>
file: pic30565.gif)</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> Depending on the type of
incinerator, how it is fed and</tt><br>
<tt>the</tt><br>
<tt>> emission control system, a
medical or infectious waste</tt><br>
<tt>> incinerator might do as good
a job destroying pharms as a</tt><br>
<tt>> haz waste incinerator.
Regardless, any pharm waste that</tt><br>
<tt>is</tt><br>
<tt>> categorized as a RCRA haz
waste must go to a RCRA</tt><br>
<tt>permitted</tt><br>
<tt>> haz waste incinerator.
If a pharm is not a HW it could go</tt><br>
<tt>> to a medical/infectious
waste incinerator if your state</tt><br>
<tt>> permits that. You
should check in with your state or</tt><br>
<tt>local</tt><br>
<tt>> HW inspectors.</tt><br>
<tt>></tt><br>
<tt>>
________________________________</tt><br>
<tt>></tt><br>
<tt>> From:
pharmwaste-bounces@lists.dep.state.fl.us on behalf</tt><br>
<tt>of</tt><br>
<tt>> rachel golden</tt><br>
<tt>> Sent: Wed 1/17/2007 2:14 PM</tt><br>
<tt>> To:
pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>> Subject: [Pharmwaste]
Question regharding incinerators</tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> I have a question regarding
the incineration of unused</tt><br>
<tt>> pharmaceuticals. I am
relatively new to the list, so</tt><br>
<tt>> forgive me if this has been
discussed before. I believe</tt><br>
<tt>> that unused drugs in North
Carolina sent through a reverse</tt><br>
<tt>> distributor end up being
incinerated at a medical waste</tt><br>
<tt>> facility. The point
was recently made that</tt><br>
<tt>pharmaceuticals</tt><br>
<tt>> are considered hazardous
waste, not medical waste, and</tt><br>
<tt>that</tt><br>
<tt>> the incineration process
safe for medical waste is not</tt><br>
<tt>> necessarily safe for drugs.
Does anybody have any</tt><br>
<tt>> information on this subject
from anywhere in the U.S.?</tt><br>
<tt>> Specifically, what are the
differences between</tt><br>
<tt>incinerators</tt><br>
<tt>> built to handle medical
waste versus hazardous waste? Are</tt><br>
<tt>> drugs considered to be
medical waste or hazardous waste?</tt><br>
<tt>> I appreciate the help!</tt><br>
<tt>> Rachel</tt><br>
<tt>></tt><br>
<tt>> --</tt><br>
<tt>> Rachel Golden</tt><br>
<tt>> Adult Environmental
Education Program Manager</tt><br>
<tt>> Office of Environmental
Education</tt><br>
<tt>> NC Department of Environment
and Natural Resources</tt><br>
<tt>> 1609 Mail Service Center,
Raleigh, NC 27699-1609</tt><br>
<tt>> 919-733-0711 (phone)
919-733-1616 (fax)</tt><br>
<tt>> rachel.golden@ncmail.net</tt><br>
<tt>> www.eenorthcarolina.org <</tt></span><a
href="http://www.eenorthcarolina.org/"><tt><span style='font-size:13.5pt'>http://www.eenorthcarolina.org/</span></tt></a><tt><span
style='font-size:13.5pt'>></span></tt><span style='font-size:13.5pt;
font-family:"Courier New"'><br>
<tt>></tt><br>
<tt>> Check out the EcoSmart
Consumer MySpace page <</tt><br>
<tt>> </tt></span><a
href="http://www.myspace.com/ecosmartconsumer"><tt><span style='font-size:13.5pt'>http://www.myspace.com/ecosmartconsumer</span></tt></a><tt><span
style='font-size:13.5pt'>> and blog <</span></tt><span
style='font-size:13.5pt;font-family:"Courier New"'><br>
<tt>> </tt></span><a
href="http://ecosmartconsumer.blogspot.com/"><tt><span style='font-size:13.5pt'>http://ecosmartconsumer.blogspot.com/</span></tt></a><tt><span
style='font-size:13.5pt'>> !</span></tt><span style='font-size:13.5pt;
font-family:"Courier New"'><br>
<tt>>
_______________________________________________</tt><br>
<tt>> Pharmwaste mailing list</tt><br>
<tt>> Pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>></tt><br>
<tt>> </tt></span><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"><tt><span
style='font-size:13.5pt'>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</span></tt></a><span
style='font-size:13.5pt;font-family:"Courier New"'><br>
<tt>>
_______________________________________________</tt><br>
<tt>> Pharmwaste mailing list</tt><br>
<tt>>
Pharmwaste@lists.dep.state.fl.us</tt><br>
<tt>></tt><br>
<tt>> </tt></span><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"><tt><span
style='font-size:13.5pt'>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</span></tt></a><span
style='font-size:13.5pt;font-family:"Courier New"'><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> _______________________________________________</tt><br>
<tt>> Pharmwaste mailing list</tt><br>
<tt>> Pharmwaste@lists.dep.state.fl.us </tt><br>
<tt>> </tt></span><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"><tt><span
style='font-size:13.5pt'>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</span></tt></a><span
style='font-size:13.5pt;font-family:"Courier New"'><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>></tt><br>
<tt>> _______________________________________________</tt><br>
<tt>> Pharmwaste mailing list</tt><br>
<tt>> Pharmwaste@lists.dep.state.fl.us </tt><br>
<tt>> </tt></span><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"><tt><span
style='font-size:13.5pt'>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</span></tt></a><span
style='font-size:13.5pt;font-family:"Courier New"'><br>
<tt>> _______________________________________________</tt></span><br>
<tt><span style='font-size:13.5pt'>> Pharmwaste mailing list</span></tt><span
style='font-size:13.5pt;font-family:"Courier New"'><br>
<tt>> Pharmwaste@lists.dep.state.fl.us </tt><br>
<tt>> </tt></span><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"><tt><span
style='font-size:13.5pt'>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</span></tt></a><span
style='font-size:13.5pt;font-family:"Courier New"'><br>
<br>
<br>
<tt>_______________________________________________</tt><br>
<tt>Pharmwaste mailing list</tt><br>
<tt>Pharmwaste@lists.dep.state.fl.us</tt><u><span style='color:blue'><br>
</span></u></span><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"><tt><span
style='font-size:13.5pt'>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</span></tt></a><o:p></o:p></p>
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