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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Please see Lisa Lauer&#8217;s comments below. Hopefully the website
will be updated soon. <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'>Best regards, <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'>Charlotte A. Smith, R. Ph., M.S., HEM<o:p></o:p></span></p>

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

<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>WM Healthcare Solutions, Inc.<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"'>
Lauer.Lisa@epamail.epa.gov [mailto:Lauer.Lisa@epamail.epa.gov] <br>
<b>Sent:</b> Friday, February 19, 2010 1:36 PM<br>
<b>To:</b> Charlotte A. Smith<br>
<b>Cc:</b> Jim McCauley<br>
<b>Subject:</b> Re: EPA recommendations on thimerosal-containing vaccines<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:10.0pt;font-family:"Verdana","sans-serif"'>Hi
Charlotte - <o:p></o:p></span></p>

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

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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif"'>Yes,
you are correct. If vaccines containing thimerasol meet the toxicity
characteristic, then&nbsp; they need to be managed as a hazardous waste.&nbsp;
The webpage that was referenced was actually developed by another group within
EPA, and my management has just met with that group and I will be working with
them to amend that particular&nbsp;table.&nbsp; I believe the table is for
household waste containing Hg - although I'm not sure why vaccines were
included.<o:p></o:p></span></p>

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

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

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

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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Verdana","sans-serif"'>_____________________________________<br>
Lisa M. Lauer<br>
U.S. Environmental Protection Agency<br>
Materials Recovery and Waste Management Division<br>
Office of Resource Conservation and Recovery<br>
1200 Pennsylvania Avenue NW<br>
Washington, DC 20460<br>
Mail Code 5304P<br>
Voice: 703-308-7418<br>
Fax: 703-308-0514<br>
Schedule: Mon and Wed - 6:30 - 4:00 <br>
Thurs - 6:00 - 8:00 AM<o:p></o:p></span></p>

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

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<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt;
font-family:"Verdana","sans-serif";color:#990099'>-----&quot;Charlotte A.
Smith&quot; &lt;csmith@pharmecology.com&gt; wrote: -----</span><span
style='font-size:10.0pt;font-family:"Verdana","sans-serif"'><o:p></o:p></span></p>

<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:10.0pt;
font-family:"Verdana","sans-serif"'>To: Lisa Lauer/DC/USEPA/US@EPA<br>
From: &quot;Charlotte A. Smith&quot; &lt;csmith@pharmecology.com&gt;<br>
Date: 02/19/2010 02:29PM<br>
cc: &quot;Jim McCauley&quot; &lt;jmccauley@pharmecology.com&gt;<br>
Subject: EPA recommendations on thimerosal-containing vaccines<o:p></o:p></span></p>

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<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hi
Lisa,<o:p></o:p></span></p>

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

<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>We&#8217;re
getting a lot of questions on the EPA guidance that appears to indicate that
vaccines containing thimerosal do not need special handling. &nbsp;The research
we&#8217;ve done indicate they fail the TCLP for mercury. We are preparing guidance
for the industry on disposing the H1N1 vaccine. Can you please review the
website noted below and give us feedback on the reasoning? If in error, can
this be corrected so there are not conflicting opinions voiced by EPA? Thanks
so much! <o:p></o:p></span></p>

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

<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Best
regards, Charlotte Smith<o:p></o:p></span></p>

<p style='margin-bottom:12.0pt'><span style='font-size:10.0pt;font-family:"Verdana","sans-serif"'><o:p>&nbsp;</o:p></span></p>

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

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