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<p class=MsoNormal><span style='color:#1F497D'>At our 14 retail pharmacy take
backs in the Seattle/Puget Sound region (where they screen out controlled
substances) the medicines are disposed at a Hazardous Waste incinerator.  They
are able to use our state blanket contract for disposal of hazardous waste and
it costs a little over $1/pound.  <o:p></o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'>The 25 clinical pharmacies are
using a waste-to-energy incinerator.<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'><o:p>&nbsp;</o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'>Cheri<o:p></o:p></span></p>

<p class=MsoNormal><span style='color:#1F497D'><o:p>&nbsp;</o:p></span></p>

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<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:#1F497D'>Cheri Grasso </span></b><span style='font-size:12.0pt;
font-family:"Times New Roman","serif";color:#1F497D'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>Pharmaceuticals Project </span><span style='font-size:12.0pt;
font-family:"Times New Roman","serif";color:#1F497D'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>Local Hazardous Waste Management Program in King County</span><span
style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#1F497D'><o:p></o:p></span></p>

<p class=MsoNormal><span style='font-size:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>130 Nickerson Street, Suite 100 | Seattle, WA&nbsp; 98109 |
206-263-3089</span><span style='font-size:12.0pt;font-family:"Times New Roman","serif";
color:#1F497D'><o:p></o:p></span></p>

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<p class=MsoNormal><span style='font-size:7.5pt;font-family:"Arial","sans-serif";
color:#1F497D'>www.lhwmp.org</span><span style='color:#1F497D'><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"'> Pete Pasterz
[mailto:PAPasterz@cabarruscounty.us] <br>
<b>Sent:</b> Wednesday, August 25, 2010 3:06 PM<br>
<b>To:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> [Pharmwaste] Best way to destroy collected Pharmaceuticals?<o:p></o:p></span></p>

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

<p class=MsoNormal>While there seem to be many approaches in the accounts/case
studies of pharma collections from community events and from health care
facilities, final disposition is usually not addressed.&nbsp; If there is a
mention at all in the collection protocols I&#8217;ve read, &#8220;incineration&#8221; is usually
used without definition.<o:p></o:p></p>

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

<p class=MsoNormal>Questions:<o:p></o:p></p>

<p class=MsoNormal>1] What ultimately happens to the drugs that you collect or
that are collected in your jurisdictions?<o:p></o:p></p>

<p class=MsoNormal>2] If incinerated, in what type of incinerator?&nbsp;&nbsp; <o:p></o:p></p>

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

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

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

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

<p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
On-site mobile/portable unit?<o:p></o:p></p>

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

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

<p class=MsoNormal>Bonus Question&#8212;<o:p></o:p></p>

<p class=MsoNormal>For Air Quality regulators on the list [or one that you know
to whom you can forward this], what are your State/Regional standards or
requirements, if any?&nbsp; How do they ensure that this process is ultimately
safer to health and environment than landfill or sewer disposal?<o:p></o:p></p>

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

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

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

<p class=MsoNormal><span style='font-family:Webdings;color:#76923C'>þ</span>
Pete Pasterz, NCQRP<o:p></o:p></p>

<p class=MsoNormal>Cabarrus County Recycling and HHW<o:p></o:p></p>

<p class=MsoNormal>PO BOX 707 <o:p></o:p></p>

<p class=MsoNormal>Concord, NC&nbsp; 28026<o:p></o:p></p>

<p class=MsoNormal>704-920-3280<o:p></o:p></p>

<p class=MsoNormal><a href="http://www.cabarruscounty.us/waste">www.cabarruscounty.us/waste</a><o:p></o:p></p>

<p class=MsoNormal><i>If you're not for ZERO Waste, how much Waste ARE you for?<o:p></o:p></i></p>

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

<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p>&nbsp;</o:p></span></p>

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style='font-size:12.0pt;font-family:"Times New Roman","serif"'>

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<p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-size:7.5pt;
font-family:"Arial","sans-serif";color:gray'>E-mail correspondence to and from
this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.</span><span style='font-size:12.0pt;font-family:
"Times New Roman","serif"'><o:p></o:p></span></p>

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