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<p class=MsoNormal><span style='color:black'>Jeff Fiagle - Jeff.Fiagle@dnr.iowa.gov?<o:p></o:p></span></p>

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

<div>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>Janet Brown<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>Director, Sustainable Operations<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>Practice Greenhealth <o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>Po Box 3366<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>Amherst, MA 01004<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>866/598-2110<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>413/253-0254<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>jbrown@practicegreenhealth.org<o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>www.practicegreenhealth.org<o:p></o:p></span></p>

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

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:black'>Janet is on the steering committee of the Green Guide for Health
Care.&nbsp; www.gghc.org.&nbsp; <o:p></o:p></span></p>

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

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<p class=MsoNormal><span style='color:black'><o:p>&nbsp;</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"'> 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> Friday, October 24, 2008 3:59 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] FW: Sample prescription drugs<o:p></o:p></span></p>

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

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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Anyone from Iowa out there?</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>

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

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<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"'> Angie Youngblut
[mailto:AYoungblut@cvmspc.com] <br>
<b>Sent:</b> Friday, October 24, 2008 3:49 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> FW: Sample prescription drugs</span><o:p></o:p></p>

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

<p><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";
color:blue'>Someone actually called me from Iowa - and left me a voicemail and
I have not heard anything back again. ( I don't have their number, I thought it
might have been DNR?) </span><o:p></o:p></p>

<p><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";
color:blue'>I am trying to verify with anyone in Iowa, any additional
regulations before I dispose of drug samples.</span> <br>
<span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";
color:blue'>Please try me again! </span><o:p></o:p></p>

<p><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";
color:blue'>Thanks for everyone's insight so far, I want to make sure I meet IA
regulations for disposal.</span> <o:p></o:p></p>

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

<p><span style='font-family:"Franklin Gothic Medium","sans-serif";color:teal'>Angie
Youngblut RN, BS</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Clinical Practice Manager</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Cedar Valley Medical Specialists, P.C.</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>4150 Kimball Avenue</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Waterloo, Iowa 50701</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Phone 319-235-5390</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Fax 319-287-9249</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>ayoungblut@cvmspc.com</span> <o:p></o:p></p>

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

<p><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>______________________________________________
</span><br>
<b><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>From: &nbsp;</span></b>
<span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Angie
Youngblut&nbsp; </span><br>
<b><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Sent:&nbsp;&nbsp;</span></b>
<span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Tuesday,
October 14, 2008 1:39 PM</span> <br>
<b><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>To:&nbsp;&nbsp;&nbsp;&nbsp;</span></b>
<span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>'pharmwaste@lists.dep.state.fl.us'</span>
<br>
<b><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Subject:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></b>
<span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>FW: Sample
prescription drugs</span> <o:p></o:p></p>

<p><span style='font-size:10.0pt;font-family:"Century Gothic","sans-serif";
color:blue'>Can anyone respond to me at my email at work?</span> <o:p></o:p></p>

<p><span style='font-family:"Franklin Gothic Medium","sans-serif";color:teal'>Angie
Youngblut RN, BS</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Clinical Practice Manager</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Cedar Valley Medical Specialists, P.C.</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>4150 Kimball Avenue</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Waterloo, Iowa 50701</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Phone 319-235-5390</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Fax 319-287-9249</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>ayoungblut@cvmspc.com</span> <o:p></o:p></p>

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

<p><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>______________________________________________
</span><br>
<b><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>From: &nbsp;</span></b>
<span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Angie
Youngblut&nbsp; </span><br>
<b><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Sent:&nbsp;&nbsp;</span></b>
<span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Monday, October
06, 2008 11:24 AM</span> <br>
<b><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>To:&nbsp;&nbsp;&nbsp;&nbsp;</span></b>
<span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>'pharmwaste@lists.dep.state.fl.us'</span>
<br>
<b><span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Subject:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></b>
<span style='font-size:7.5pt;font-family:"Tahoma","sans-serif"'>Sample
prescription drugs</span> <o:p></o:p></p>

<p><span style='font-size:10.0pt;font-family:"Comic Sans MS"'>I have been
trying to get one clear answer- and haven't had much success. I have tried EPA,
DNR, Iowa Board of Pharmacy, local landfill and others. I have expired sample
prescription drugs to dispose of and I don't want to break any regulations,
however I have been told I am a &quot;waste generating facility&quot; and
therefore have different rules. It has been recommended to me to mix them with
undesirable substances and put in regular trash and that they are not
considered hazardous.</span><o:p></o:p></p>

<p><span style='font-size:10.0pt;font-family:"Comic Sans MS"'>I do not have the
option of giving them to a charitable organization because they will only take
them( in the Iowa Drug Repository program) with a year left on the expiration
and our offices keep them until they expire. </span><o:p></o:p></p>

<p><span style='font-size:10.0pt;font-family:"Comic Sans MS"'>Is there any
clear guideline federally or in Iowa that I have missed?</span> <o:p></o:p></p>

<p><span style='font-family:"Franklin Gothic Medium","sans-serif";color:teal'>Angie
Youngblut RN, BS</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Clinical Practice Manager</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Cedar Valley Medical Specialists, P.C.</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>4150 Kimball Avenue</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Waterloo, Iowa 50701</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Phone 319-235-5390</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>Fax 319-287-9249</span> <br>
<span style='font-size:10.0pt;font-family:"Franklin Gothic Medium","sans-serif";
color:teal'>ayoungblut@cvmspc.com</span> <o:p></o:p></p>

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