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<div class=Section1>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Hello Al:<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>We are currently “fighting” two medical
waste incinerators here in NC: Stericycle and BMWNC (Healthcare Waste Solutions).
Our goal is to convince them to switch to more environmentally-friendly methods
of disposal, (i.e.), microwaving or autoclaving. Both incinerators are located
next to schools and residential neighborhoods. Both have continued violations.
Both are out of compliance with the new air standards for air pollutants under
the new EPA rules for medical waste incinerators promulgated in 2009. Both burn
paper and plastics as a means to <i><span style='font-style:italic'>fuel the incinerators</span></i>
– a method to reduce fuel costs, but a monstrous and absolutely needless disposal
method that results in the formation of dioxins. <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>There is <i><span style='font-style:italic'>no
regulation or testing</span></i> <i><span style='font-style:italic'>required</span></i>
for the zillions of pharmaceuticals being incinerated: we do not know what is going
in nor do we know what is going out. Haz pharms are supposed to be separated
from non-haz pharms in our state (NC does not incinerate haz waste); however, questions
remain if the two are actually being efficiently and effectively segregated. <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>The new EPA rules include (in addition to better
recycling and waste segregation, increased monitoring/testing and removal of
the exemption for uncontrolled emissions from “by-pass” events) stricter standards
for air pollutants for medical waste incinerators. We are pushing to have our NC
implement the new rules two years earlier than the EPA’s compliance date of
2014. <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Pharms disposal continues to be a wild
card and must somehow be better regulated, tested and dealt with regarding their
potential impacts to public health and the environment. <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<div>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Sue Dayton</span></font><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Blue Ridge Environmental Defense League</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:State w:st="on"><st1:place w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>North Carolina</span></font></st1:place></st1:State><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'> Healthy Communities Program</span></font><font color=navy><span
style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place w:st="on"><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:navy'>PO</span></font></st1:place><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'> <st1:address w:st="on"><st1:Street w:st="on">BOX</st1:Street> 44</st1:address></span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>Saxapahaw</span></font></st1:City><font size=2 color=navy
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:navy'>, <st1:State
w:st="on">NC</st1:State> <st1:PostalCode w:st="on">27340</st1:PostalCode></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>(336) 525-2003</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><a href="mailto:sdayton@swcp.com">sdayton@swcp.com</a></span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'> <o:p></o:p></span></font></p>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><em><i><font
size=2 color=navy face="Palatino Linotype"><span style='font-size:10.0pt;
font-family:"Palatino Linotype";color:navy'>Our lives begin to end the day we
become silent about things that matter. - Martin Luther King
Jr.<o:p></o:p></span></font></i></em></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><font
size=3 color=navy face=Arial><span style='font-size:12.0pt;font-family:Arial;
color:navy'><o:p> </o:p></span></font></p>
</div>
<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 color=navy face="Times New Roman"><span
style='font-size:12.0pt;color:navy'> </span></font><o:p></o:p></p>
</div>
<div>
<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>
<hr size=2 width="100%" align=center tabindex=-1>
</span></font></div>
<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b><span style='font-weight:
bold'>On Behalf Of </span></b>Al White<br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, July 13, 2010 4:26
AM<br>
<b><span style='font-weight:bold'>To:</span></b> 'gressitt'; 'Holcomb, Sarah,
NMENV'<br>
<b><span style='font-weight:bold'>Cc:</span></b>
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: [Pharmwaste] Federal
Incineration Reg</span></font><o:p></o:p></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>Sarah/ Stevan:<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>Incineration is a
very cost intensive, non-sustainable practice, Additionally and most
importantly it must be performed properly under strict monitoring conditions.
The un-intended by-product “Dioxin” et.al. will be produced and released If the
pharm compounds are not raised to proper temperatures and maintained for
prescribed time intervals under prescribed containment conditions. This is not
a simple task. I am amazed that this practice is even permitted.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'>Al White<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color="#1f497d" face=Calibri><span
style='font-size:11.0pt;font-family:Calibri;color:#1F497D'><o:p> </o:p></span></font></p>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>
pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b><span style='font-weight:
bold'>On Behalf Of </span></b>gressitt<br>
<b><span style='font-weight:bold'>Sent:</span></b> Monday, July 12, 2010 6:08
PM<br>
<b><span style='font-weight:bold'>To:</span></b> Holcomb, Sarah, NMENV<br>
<b><span style='font-weight:bold'>Cc:</span></b>
pharmwaste@lists.dep.state.fl.us<br>
<b><span style='font-weight:bold'>Subject:</span></b> Re: [Pharmwaste] Federal
Incineration Reg<o:p></o:p></span></font></p>
</div>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3 face=Verdana><span
style='font-size:12.0pt;font-family:Verdana'>I would ask them to provide
the reg. It is not true in <st1:State w:st="on"><st1:place w:st="on">Maine</st1:place></st1:State>.</span></font><o:p></o:p></p>
<div>
<div>
<div>
<p class=MsoNormal style='margin-bottom:10.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>Stevan Gressitt, M.D.<br>
Faculty Associate, University of <st1:place w:st="on"><st1:PlaceName w:st="on">Maine</st1:PlaceName>
<st1:PlaceType w:st="on">Center</st1:PlaceType></st1:place> on Aging<br>
Founding Director<br>
Maine Institute for Safe Medicine<br>
<st1:PlaceType w:st="on">University</st1:PlaceType> of <st1:PlaceName w:st="on">New
England</st1:PlaceName>, <st1:place w:st="on"><st1:PlaceType w:st="on">College</st1:PlaceType>
of <st1:PlaceName w:st="on">Pharmacy</st1:PlaceName></st1:place><br>
Department of Pharmaceutical Sciences <br>
Associate Professor of Clinical Psychiatry<br>
<st1:place w:st="on"><st1:PlaceType w:st="on">University</st1:PlaceType> of <st1:PlaceName
w:st="on">New England</st1:PlaceName></st1:place>, College of Osteopathic
Medicine<br>
<st1:address w:st="on"><st1:Street w:st="on">716 Stevens Avenue</st1:Street> <br>
<st1:City w:st="on">Portland</st1:City>, <st1:State w:st="on">Maine</st1:State>
<st1:PostalCode w:st="on">04103</st1:PostalCode></st1:address><br>
<a href="mailto:gressitt@gmail.com">gressitt@gmail.com</a> <br>
Cell: 207-441-0291 <o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-bottom:10.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
</div>
</div>
</div>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'><br>
<br>
---- On Mon, 12 Jul 2010 16:57:25 -0400 <b><span style='font-weight:bold'>Sarah,
NMENV Holcomb <<a href="mailto:sarah.holcomb@state.nm.us" target="_blank">sarah.holcomb@state.nm.us</a>></span></b>
wrote ---- <o:p></o:p></span></font></p>
<div>
<div>
<p><font size=3 color=blue face=Calibri><span style='font-size:12.0pt;
font-family:Calibri;color:blue'>Hi all – </span></font><o:p></o:p></p>
<p><font size=3 color=blue face=Calibri><span style='font-size:12.0pt;
font-family:Calibri;color:blue'>Does anyone know of a federal regulation that
prohibits the incineration of controlled substances? This is information I
heard this morning, but the person I spoke with didn’t have any more
information than this… </span></font><o:p></o:p></p>
<p><font size=3 color=blue face=Calibri><span style='font-size:12.0pt;
font-family:Calibri;color:blue'> </span></font><o:p></o:p></p>
<p><font size=3 color="#0080ff" face="French Script MT"><span style='font-size:
12.0pt;font-family:"French Script MT";color:#0080FF'>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~</span></font><o:p></o:p></p>
<p><font size=3 color="#0080ff" face="Imprint MT Shadow"><span
style='font-size:12.0pt;font-family:"Imprint MT Shadow";color:#0080FF'>Sarah
Holcomb</span></font><o:p></o:p></p>
<p><font size=3 color="#0080ff" face="Imprint MT Shadow"><span
style='font-size:12.0pt;font-family:"Imprint MT Shadow";color:#0080FF'>Environmental
Scientist/Specialist</span></font><o:p></o:p></p>
<p><font size=3 color="#0080ff" face="Imprint MT Shadow"><span
style='font-size:12.0pt;font-family:"Imprint MT Shadow";color:#0080FF'>Surface
Water Quality Bureau</span></font><o:p></o:p></p>
<p><font size=3 color="#0080ff" face="Imprint MT Shadow"><span
style='font-size:12.0pt;font-family:"Imprint MT Shadow";color:#0080FF'>New
Mexico Environment Department</span></font><o:p></o:p></p>
<p><font size=3 color="#0080ff" face="Imprint MT Shadow"><span
style='font-size:12.0pt;font-family:"Imprint MT Shadow";color:#0080FF'>5500 <st1:City
w:st="on">San Antonio</st1:City> <st1:State w:st="on">NE</st1:State>, <st1:place
w:st="on"><st1:City w:st="on">Albuquerque</st1:City>, <st1:State w:st="on">NM</st1:State>
<st1:PostalCode w:st="on">87109</st1:PostalCode></st1:place></span></font><o:p></o:p></p>
<p><font size=3 color="#0080ff" face="Imprint MT Shadow"><span
style='font-size:12.0pt;font-family:"Imprint MT Shadow";color:#0080FF'>505-222-9587</span></font><o:p></o:p></p>
<p style='margin:0in;margin-bottom:.0001pt'><b><font size=5 color=green
face=Webdings><span lang=EN-AU style='font-size:18.0pt;font-family:Webdings;
color:green;font-weight:bold'>P</span></font></b><b><font color="#0080ff"
face="French Script MT"><span style='font-family:"French Script MT";color:#0080FF;
font-weight:bold'> </span></font></b><b><font size=1 color=green
face=Tahoma><span style='font-size:7.5pt;font-family:Tahoma;color:green;
font-weight:bold'> </span></font></b><b><font size=1 color=green face=Tahoma><span
style='font-size:8.0pt;font-family:Tahoma;color:green;font-weight:bold'>Please
consider the environment before printing this e-mail</span></font></b><b><font
color="#0080ff" face="French Script MT"><span style='font-family:"French Script MT";
color:#0080FF;font-weight:bold'> </span></font></b><o:p></o:p></p>
<p><font size=3 face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
</div>
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12.0pt'><br>
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__________ Information from ESET NOD32 Antivirus, version of virus signature
database 5273 (20100712) __________<br>
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The message was checked by ESET NOD32 Antivirus.<br>
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12.0pt'><br>
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__________ Information from ESET NOD32 Antivirus, version of virus signature
database 5273 (20100712) __________<br>
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The message was checked by ESET NOD32 Antivirus.<br>
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<a href="http://www.eset.com">http://www.eset.com</a><o:p></o:p></span></font></p>
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