<HTML><HEAD>
<META http-equiv=Content-Type content="text/html; charset=iso-8859-15">
<META content="MSHTML 6.00.2900.3492" name=GENERATOR></HEAD>
<BODY style="MARGIN: 4px 4px 1px; FONT: 10pt Tahoma">
<DIV>So what <U>is</U> the present compliance rate with our Hospitals Pharmacies with the RCRA - Hazardous waste regulations? </DIV>
<DIV>How are they achieving Hazardous Waste Determinations? How do they segregate wastes, and when?</DIV>
<DIV>How many have a program that know where the stuff that the reverse distributors don't want to take go? What happens to the waste - contaminated packaging - that comes from dispensing drugs that can be a "P" waste? Do the reverse distributors(RDs) tell the hospitals about these materials? Do they, the RDs, take these back?</DIV>
<DIV>Does that make them a TSDF? Are they manifested? What mechanisms are the Hospital Pharmacies using to recover these materials from the patient floors?</DIV>
<DIV>What are the RDs doing with those materials that are never credited? The partials that can't be reused because that are not factory sealed? Those materials that are <U>so</U> far out of date? The RDs know what they are. Do they pick them up anyway. Does that make them a TSDF? Are they manifested?</DIV>
<DIV> </DIV>
<DIV>Have all of the Hospital Pharmacies had their Formulary,(likely stocked Drugs), reviewed as to which ones can be a Hazardous Waste when unusable ,unreturnable, un credited, when a waste. Have they looked for characteristic Hazardous Waste? Mercury compounds that may be used as a preservative? Metals in vitamins or dietary supplements? Alcohol or CFCs in inhalers?</DIV>
<DIV> </DIV>
<DIV>What are we seeing when we look at these questions???????</DIV>
<DIV> </DIV>
<DIV> </DIV></BODY></HTML>