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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Here&#8217;s another comment about Household Hazardous Waste.<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>(Ross, I wish you&#8217;d join the list serve! Go to </span><span
style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"><span
style='color:black;text-decoration:none'>http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</span></a>
and follow the directions there.)<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Laurie</span><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:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;color:#1F497D'>Laurie J.
Tenace<br>
Environmental Specialist<br>
Florida Department of Environmental Protection<br>
2600 Blair Stone Road, MS 4555<br>
Tallahassee, Florida 32399-2400<br>
PH: (850) 245-8759<br>
FAX: (850) 245-8811<br>
Laurie.Tenace@dep.state.fl.us&nbsp;<br>
<br>
Mercury web pages:<br>
<a href="http://www.dep.state.fl.us/waste/categories/mercury/default.htm">http://www.dep.state.fl.us/waste/categories/mercury/default.htm</a><br>
<br>
Unwanted Medications web pages:<br>
<a href="http://www.dep.state.fl.us/waste/categories/medications/default.htm">http://www.dep.state.fl.us/waste/categories/medications/default.htm</a><br>
<br>
<br>
<br>
<br>
Please Note:&nbsp; Florida has a very broad public records law.&nbsp; Most
written communications to or from state officials regarding state business are
public records available to the public and media upon request.&nbsp; Your
e-mail is communications and may therefore be subject to public disclosure.<br>
<br>
<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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<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"'> Bunnell, Ross
[mailto:Ross.Bunnell@ct.gov] <br>
<b>Sent:</b> Tuesday, October 07, 2008 1:53 PM<br>
<b>To:</b> Charlotte A. Smith; Tenace, Laurie; pharmwaste@lists.dep.state.fl.us<br>
<b>Cc:</b> APittman@HCNetwork.org<br>
<b>Subject:</b> RE: [Pharmwaste] FW: appropriate disposal of expired drugs<o:p></o:p></span></p>

</div>

</div>

<p class=MsoNormal><o:p>&nbsp;</o:p></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Dear Pharmwaste list serve members:<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>A word of caution from a self-admitted RCRA wonk to those of you
who may not have much exposure to the issue of household vs. non-household
waste under RCRA.&nbsp; The EPA regulation in question here is the so-called
household waste exemption of 40 CFR 261.4(b)(1), which provides an exemption
from hazardous waste regulation for:<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>&nbsp;&#8220;Household waste, including household waste that has
been collected, transported, stored, treated, disposed, recovered (e.g.,
refuse-derived fuel) or reused.&nbsp; &#8216;Household waste&#8217; means any
material (including garbage, trash, and sanitary wastes in septic tanks)
derived from households (including single and multiple residences, hotels and
motels, bunkhouses, ranger stations, crew quarters, campgrounds, picnic
grounds, and day-use recreation areas)&#8230;&#8221;<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>This definition leaves a lot of room for interpretation,
especially with respect to the kinds of facilities that qualify as
&#8220;households,&#8221; and, by extension, the wastes that qualify for the
exemption&nbsp; However, EPA has provided guidance on the interpretation of
this provision.&nbsp; This EPA guidance focuses on two key criteria:&nbsp; (1)
the waste must be generated by individuals in a household; and, (2) it must be
the type of waste typically generated by residents in their homes.&nbsp; So, to
give an illustrative example, pharmaceutical wastes generated in a surgery
center of a hospital are clearly not household wastes since they are not
typical of the kinds of wastes generated by homeowners in their own
homes.&nbsp; However, if a patient in the same hospital has over-the-counter
medications or personal care products of their own that they dispose of in the
trash can in their hospital room, those WOULD qualify as household wastes.&nbsp;
The same could be said of similar wastes generated at a long-term residential
care facility (i.e., some may be exempt as household waste whereas others may
not).&nbsp; &nbsp;To provide another example, &nbsp;EPA has indicated that
wastes generated from the administration of medical care by healthcare
professional in a patient&#8217;s own home qualify as exempt household wastes.
&nbsp;The determining factor is not the type of facility at which the waste is
generated, but who actually generates the waste and what kind of waste it
is.&nbsp; For more detailed info on EPA&#8217;s policy on household wastes, see
the following links:<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><a
href="http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/0BA7F04C5E421B4585256817006E30A2/$file/13277.pdf">http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/0BA7F04C5E421B4585256817006E30A2/$file/13277.pdf</a><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://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/7ED5D80ABEB712818525670F006C0736/$file/13432.pdf">http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/7ED5D80ABEB712818525670F006C0736/$file/13432.pdf</a><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://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/B1EA4010185041DF8525670F006C22C7/$file/12624.pdf">http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/B1EA4010185041DF8525670F006C22C7/$file/12624.pdf</a><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://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/4BE891214D0333658525670F006BCD54/$file/13736.pdf">http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/4BE891214D0333658525670F006BCD54/$file/13736.pdf</a><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://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/E28872E6E98C9D44852568E300468084/$file/14115.pdf">http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/E28872E6E98C9D44852568E300468084/$file/14115.pdf</a><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://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/8F9976996B1D6DB185256D6E005F920B/$file/14673.pdf">http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/8F9976996B1D6DB185256D6E005F920B/$file/14673.pdf</a><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://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/F00B95651A8F5F358525670F006BECDE/$file/11780.pdf">http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/F00B95651A8F5F358525670F006BECDE/$file/11780.pdf</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>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Although such guidance is technically not binding on states to
follow, it is typically honored by most states.&nbsp; However, EPA does grant
states some flexibility to form their own interpretations if the regulations
are not themselves clear.&nbsp; Based on the above, Wisconsin DNR&#8217;s chart
as referenced by Charlotte, which focuses primarily on the type of facility
generating the waste, may not be the interpretation adopted by many
state&#8217;s RCRA programs (my state &#8211; Connecticut &#8211; being one).<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>--Ross Bunnell, Sanitary Engineer 3<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>CT Department of Environmental Protection (DEP)<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Bureau of Materials Management and Compliance Assurance<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Waste Engineering &amp; Enforcement Division<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Tel.&nbsp; 860.424.3274<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Fax&nbsp; 860.424.4059<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>ross.bunnell@ct.gov<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<div>

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<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>Charlotte
A. Smith<br>
<b>Sent:</b> Monday, October 06, 2008 6:41 PM<br>
<b>To:</b> Tenace, Laurie; pharmwaste@lists.dep.state.fl.us<br>
<b>Cc:</b> APittman@HCNetwork.org<br>
<b>Subject:</b> RE: [Pharmwaste] FW: appropriate disposal of expired drugs<o:p></o:p></span></p>

</div>

</div>

<p class=MsoNormal><o:p>&nbsp;</o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>The Wisconsin DNR has come up with a grid defining the type of
facility that they consider a business versus a &#8220;home&#8221; with respect
to the enforcement of RCRA. It is our understanding WDNR expects businesses to
comply with existing hazardous waste regulations, including pharmaceuticals.
You can access the website at <a
href="http://dhs.wisconsin.gov/rl_dsl/Publications/pdfmemos/08-003attch.pdf">http://dhs.wisconsin.gov/rl_dsl/Publications/pdfmemos/08-003attch.pdf</a><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>I hope this is helpful.<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><o:p>&nbsp;</o:p></span></p>

<div>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Best regards,</span><span style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='color:navy'>&nbsp;<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:navy'>&nbsp;<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Charlotte A. Smith, R. Ph., M.S., HEM</span><span style='color:
navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>President</span><span style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>PharmEcology Associates, LLC</span><span style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>12229 W. North Ave., Suite 2</span><span style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Wauwatosa, WI 53226</span><span style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>414-292-3959</span><span style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>414-915-4026 (cell)</span><span style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><a href="mailto:csmith@pharmecology.com">csmith@pharmecology.com</a></span><span
style='color:navy'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'><a href="http://www.pharmecology.com">www.pharmecology.com</a></span><o:p></o:p></p>

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<hr size=2 width="100%" align=center>

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<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>Tenace,
Laurie<br>
<b>Sent:</b> Monday, October 06, 2008 3:19 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Cc:</b> APittman@HCNetwork.org<br>
<b>Subject:</b> [Pharmwaste] FW: appropriate disposal of expired drugs</span><o:p></o:p></p>

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<p class=MsoNormal><o:p>&nbsp;</o:p></p>

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<div>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Here is a question from a non-member of the list serve. But I
think it is a good question for us to discuss and I&#8217;d like to hear of any
solutions other states have come up with for clinics, nursing homes, vets
&#8211; the people that kind of fall through the cracks &#8211; not covered by
homeowner&#8217;s exemptions but not big enough to use reverse distribution. I hate
to tell them about RCRA and that they need incur costs to dispose of their
drugs and have been told on more than one occasion that they are going to keep
flushing their meds until I come up with a regulation that says they
can&#8217;t. </span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>&nbsp;</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Any good solutions out there? Or does anyone have regulations
that help these very small generators? </span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>&nbsp;</span><o:p></o:p></p>

<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt;
color:#1F497D'>Laurie J. Tenace<br>
Environmental Specialist<br>
Florida Department of Environmental Protection<br>
2600 Blair Stone Road, MS 4555<br>
Tallahassee, Florida 32399-2400<br>
PH: (850) 245-8759<br>
FAX: (850) 245-8811<br>
<a href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a>&nbsp;<br>
<br>
Mercury web pages:<br>
<a href="http://www.dep.state.fl.us/waste/categories/mercury/default.htm">http://www.dep.state.fl.us/waste/categories/mercury/default.htm</a><br>
<br>
Unwanted Medications web pages:<br>
<a href="http://www.dep.state.fl.us/waste/categories/medications/default.htm">http://www.dep.state.fl.us/waste/categories/medications/default.htm</a><br>
<br>
<br>
<br>
<br>
Please Note:&nbsp; Florida has a very broad public records law.&nbsp; Most
written communications to or from state officials regarding state business are
public records available to the public and media upon request.&nbsp; Your
e-mail is communications and may therefore be subject to public disclosure.<br>
<br>
<br>
</span><o:p></o:p></p>

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<p class=MsoNormal style='margin-bottom:12.0pt'><o:p>&nbsp;</o:p></p>

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<div>

<p class=MsoNormal><em><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>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. Simply click on <a
href="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us"
target="_blank">this link to the DEP Customer Survey</a>. Thank you in advance
for completing the survey.</span></em><span style='font-size:9.0pt;font-family:
"Courier New"'><o:p></o:p></span></p>

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<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"'> Pittman, Anita [mailto:APittman@HCNetwork.org]
<br>
<b>Sent:</b> Monday, October 06, 2008 12:49 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> appropriate disposal of expired drugs</span><o:p></o:p></p>

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</div>

<p class=MsoNormal>&nbsp;<o:p></o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>What
is the appropriate and acceptable disposal policy for prescription and over the
counter drugs&nbsp; in a small clinic (non-narcotic)</span><o:p></o:p></p>

<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Thank
you </span><o:p></o:p></p>

<p>DISCLAIMER:<br>
This information, including any attachments, may contain legally privileged
and/or highly confidential information. If you are not the intended
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State and Federal Laws. If you have received this communication in error,
please immediately notify the sender and follow appropriate actions for
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