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<div class=Section1>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Speaking
of crawling through policies... <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>From
what I have read, it appears this regulation only restricts the disposal of “<span
class=content>unused medications" that are in </span>solid dosage forms – <span
class=content>pills, tablets, capsules, and caplets. <o:p></o:p></span></span></p>
<p class=MsoNormal><span class=content><span style='font-size:10.0pt'><o:p> </o:p></span></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>I
suspect that there may be a few healthcare facilities in Illinois that received
an OK from the POTW/DEA/EPA to dispose of RCRA DEA controls down the drain. A
good example of a DEA control that is also RCRA waste when disposed of is
Chloral Hydrate (U034). If this regulation restricts the disposal of Chloral
Hydrate capsules and suppositories down the drain, I suspect these facilities
will be scrambling around to find a licensed TSDF that is registered by the DEA
to accept controlled substances for disposal. Although this is a viable
option, the cost may raise some eyebrows. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>I
know of at least two licensed TSDF’s that can accept DEA controlled substances
for incineration. <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";
color:black'>Jeff Hollar</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:10.0pt;font-family:"Calibri","sans-serif";
color:black'>President</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></o:p></span></p>
<p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:blue'>PharmWaste Technologies, Inc.</span></b><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;font-family:"Calibri","sans-serif";
color:black'>4164 NW Urbandale Dr., Suite A</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:10.0pt;font-family:"Calibri","sans-serif";
color:black'>Urbandale, IA 50322</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:10.0pt;font-family:"Calibri","sans-serif";
color:black'>(P) 515-276-5302 Ext. 316</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:10.0pt;font-family:"Calibri","sans-serif";
color:black'>(F) 480-393-5564</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:10.0pt;font-family:"Calibri","sans-serif";
color:black'>(E) <a href="mailto:Jhollar@Pwaste.com">Jhollar@Pwaste.com</a><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";
color:black'>(W) www.pwaste.com<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";
color:black'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:8.0pt;font-family:"Calibri","sans-serif";
color:black'>The unauthorized disclosure or interception of e-mail is a federal
crime. See 18 U.S.C. SEC 2517(4). This e-mail is intended for the use of those
whom it is addressed and may contain information that is privileged,
confidential, and exempt from disclosure under the law. If you have received
this e-mail in error, do not distribute or copy it. Please return it
immediately to the sender with attachments, if any, and notify the sender by
telephone.</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> </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"'> TBadrick@aol.com
[mailto:TBadrick@aol.com] <br>
<b>Sent:</b> Wednesday, August 19, 2009 8:51 PM<br>
<b>To:</b> Deborah.DeBiasi@deq.virginia.gov; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] Illinois Prohibits Health Facilities from
Flushing Meds<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Its unlikely you would see it in the drain effluent, but a
complete no-brainer to come in and ask employees or review policies. Given
there are RCRA regulated drugs...since oh say the 1970's you have an
open door to come in and inspect by the State. My former employer had a 2
year old hospital with a catch basin where sharps were found...its not that
hard to find mistakes if you know where to look and want to find them. <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>Actually it wouldn't be that hard to sample a sink or hopper and
find trace on the surface as evidence. <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>If I were in Illinois I'd be crawling thru the policy manuals
tonight...all of them to make sure nothing is missed. Having spent enough
time in hospital committees changing policy in a healthcare system, you are
looking at 6 months or more work at a minimum.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>I applaud the State of Illinois for doing this even though the
bulk of pharm pollution does not come from healthcare settings. Its a
start and one which will reverberate throughout the entire healthcare system,
thus to customers.<o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
</div>
<div>
<div>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'>In a message dated 8/19/2009 1:04:49 P.M. Pacific Daylight Time,
Deborah.DeBiasi@deq.virginia.gov writes:<o:p></o:p></span></p>
</div>
<blockquote style='border:none;border-left:solid blue 1.5pt;padding:0in 0in 0in 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-bottom:5.0pt'>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>Unless
someone is</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> </span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>‘caught in the act’ of flushing unused medications, I don’t know
how they could monitor and enforce this given the amount of medications that
are excreted. A positive result will be awareness along with better
guidance and SOPs in health care facilities.</span><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>********</span><span
style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'><a
href="http://wwn-online.com/articles/2009/08/17/illinois-prohibits-health-facilities-from-flushing-meds.aspx"
title="http://wwn-online.com/articles/2009/08/17/illinois-prohibits-health-facilities-from-flushing-meds.aspx">http://wwn-online.com/articles/2009/08/17/illinois-prohibits-health-facilities-from-flushing-meds.aspx</a><o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>Illinois
Prohibits Health Facilities from Flushing Meds</span><span style='font-size:
10.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>Aug
17, 2009</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'> <o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>Illinois
Gov. Pat Quinn on Aug. 10 signed several key environmental bills, including one
that will prohibit health care institutions from flushing unused medications
into public wastewater. Other legislation will track water usage by high
capacity wells throughout the state.</span><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>“This
action is another important step in protecting our state’s precious natural
resources,” said Quinn. “Keeping our water safe from unused medications and
tracking water usage will help us preserve our waterways for future
generations.”</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'><o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>Senate
Bill 1919 creates the Pharmaceutical Disposal Act and was sponsored by Sen.
Susan Garrett (D-Lake Forest) and Rep. Karen May (D-Highwood). The new law
provides that health care institutions may not discharge, dispose, flush, pour
or empty any unused medication into a public wastewater collection system or
septic system. Violators are subject to a fine.</span><span style='font-size:
10.0pt;font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>"For
years, disposing unused or expired medicines in wastewater was common, even
recommended practice. Today, we’re making clear how serious we are at stopping
this practice before Illinois faces an environmental or community health
crisis," said Sen. Garrett.</span><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'>The
bill can be found here: </span><span style='font-size:10.0pt;font-family:
"Arial","sans-serif";color:black'> <a
href="http://www.ilga.gov/legislation/BillStatus.asp?DocNum=1919&GAID=10&DocTypeID=SB&SessionID=76&GA=96"
title="http://www.ilga.gov/legislation/BillStatus.asp?DocNum=1919&GAID=10&DocTypeID=SB&SessionID=76&GA=96">http://www.ilga.gov/legislation/BillStatus.asp?DocNum=1919&GAID=10&DocTypeID=SB&SessionID=76&GA=96</a><o:p></o:p></span></p>
<p><a name=""><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>Deborah L. DeBiasi</span></a><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:navy'><br>
<b>Email: Deborah.DeBiasi@deq.virginia.gov</b></span><b><i><span
style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> </span></i></b><b><i><span
style='font-size:10.0pt;font-family:"Arial","sans-serif";color:red'>(NEW!)<br>
</span></i></b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:navy'>WEB site address: www.deq.virginia.gov<br>
Virginia Department of Environmental Quality<br>
Office of Water Permit Programs<br>
Industrial Pretreatment/Toxics Management Program<br>
PPCPs, EDCs, and Microconstituents<br>
Mail: P.O. Box 1105,
Richmond, VA 23218</span><b><i><span style='font-size:10.0pt;font-family:
"Arial","sans-serif";color:black'> </span></i></b><b><i><span style='font-size:
10.0pt;font-family:"Arial","sans-serif";color:red'>(NEW!)</span></i></b><span
style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'><br>
Location: 629 E. Main Street, Richmond, VA 23219<br>
PH: 804-698-4028<br>
FAX: 804-698-4032 </span><span style='font-size:10.0pt;
font-family:"Arial","sans-serif";color:black'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:black'><br>
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</blockquote>
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