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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>All,<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Please send your response to Pamela Ortner<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>
<p class=MsoNormal><span style='font-size:10.0pt;color:#1F497D'>Laurie <br>
<br>
</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p></o:p></span></p>
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<DIV STYLE="FONT-SIZE: 9pt; FONT-FAMILY: Courier New"><EM><FONT FACE="Arial" SIZE="2">The Department of Environmental
Protection values your feedback as a customer. DEP Secretary Michael W. Sole is committed to continuously assessing and
improving the level and quality of services provided to you. Please take a few minutes to comment on the quality of
service you received. <eXclaimer:HTML_ONLY>Simply click on <A TARGET="_blank" HREF="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us">this link to the DEP Customer
Survey</A>.</eXclaimer:HTML_ONLY> Thank you in advance for completing the survey.</FONT></EM></DIV>
<DIV STYLE="FONT-SIZE: 9pt; FONT-FAMILY: Courier New"><EM><FONT FACE="Arial" SIZE="2">
</FONT></EM> </DIV>
<DIV STYLE="FONT-SIZE: 9pt; FONT-FAMILY: Courier New"><div class=Section1><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"'> Pamela Ortner
[mailto:</span> <span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>portner@ahhc.net]
<br>
<b>Sent:</b> Tuesday, April 29, 2008 10:52 AM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> incineration of pharm waste<o:p></o:p></span></p>
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<p class=MsoNormal><o:p> </o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>I
have a few questions I would like to pose to subscribers to the listserve:</span><o:p></o:p></p>
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<p class=MsoNormal> <o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>1)
Is there data about effluent and ash from pharm waste incinerators from some of
the countries in Europe that is incinerating unused
or outdated pharmaceuticals? </span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>2)
What is the volume of pharm waste per country that is being incinerated (if
segregated from medical waste)</span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>2) Is
there separation between packaging (plastic bottles) and the medications prior
to incineration? </span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>3)
What type of incinerators are utilized. Medical waste? High temperature?</span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>4)
Are controlled drugs (CDs) separated from meds? Are they handled
differently?</span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>5)
Are England, Scotland and Wales utilizing the denaturing of controlled
substances as a primary means of disposal? Is incineration used as a
secondary means?</span><o:p></o:p></p>
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<p class=MsoNormal> <o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Thank
you, I look forward to your responses. </span><o:p></o:p></p>
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<p class=MsoNormal> <o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Pamela
Ortner, RN, BSN, COHN-S</span><o:p></o:p></p>
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<p class=MsoNormal> <o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Education/Quality
Improvement Coordinator</span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Angela
Hospice</span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>14100
Newburgh Rd.</span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Livonia,
Michigan 48154-5010</span><o:p></o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>(734)
953-6040<o:p></o:p></span></p>
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<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><i><span
style='font-size:10.0pt'>Knowing is not enough; we must apply. Willing is not
enough; we must do. Goethe<o:p></o:p></span></i></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><o:p> </o:p></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> </span><o:p></o:p></p>
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