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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>I’m sorry I missed that one in your report Joel – it’s right on
page 14. Your 1,418 lb sample size is quite large (compared to Minnesota’s 252
total measured lbs) and I’m not finding the sample size in Washington; France; or
Croatia, Bosnia, and Herzegovina so I’d say depending on how far afield you want
to go in terms of distance and/or sample size it might go<b> </b>up to a total average
of <b>34%</b> packaging, but <b>15%</b> packaging by weight is a good estimate
by itself. <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 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"'> Joel Kreisberg
[mailto:drkreisberg@teleosis.org] <br>
<b>Sent:</b> Wednesday, June 01, 2011 5:32 PM<br>
<b>To:</b> Lucy, Burke<br>
<b>Cc:</b> pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> Re: [Pharmwaste] weight of packaging vs weight of pills at
collection events<o:p></o:p></span></p>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Just be get my facts on into this conversation.<br>
<br>
Hi Marti:<br>
<br>
Our data, based on samples completed in 2009 for the San Francisco Bay
Area. <br>
<br>
<br>
Our sample was 1,418lbs which was 2.35% of the total collected in
2009. <br>
I can send you the full report if you would like. <br>
<br>
By weight: 15% packaging 85%
pharmaceuticals (all types)<br>
<br>
By volume: 52% packaging 48 % pharmaceuticals (all types)
<br>
<br>
I have a break down by types as well, but I'm not sure that helps. <br>
<br>
<br>
Joel<br>
<br>
Dr. Joel Kreisberg, DC, MA<br>
Executive Director<br>
Teleosis Institute<br>
<a href="http://www.teleosis.org/" target="_blank">www.teleosis.org</a><br>
<a href="mailto:drkreisberg@teleosis.org" target="_blank">drkreisberg@teleosis.org</a><br>
<a href="tel:510-558-7285" target="_blank">510-558-7285</a><o:p></o:p></p>
<div>
<div>
<p class=MsoNormal><span class=h4>- Show quoted text -</span><o:p></o:p></p>
</div>
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<p class=MsoNormal style='margin-bottom:12.0pt'><br>
<br>
<o:p></o:p></p>
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<p class=MsoNormal>On Wed, Jun 1, 2011 at 4:22 PM, Lucy, Burke <<a
href="mailto:Burke.Lucy@calrecycle.ca.gov">Burke.Lucy@calrecycle.ca.gov</a>>
wrote:<o:p></o:p></p>
<div>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>We struggled with measuring packaging for our <a
href="http://www.calrecycle.ca.gov/Publications/General/2011008.pdf"
target="_blank">Report to the California Legislature</a> but decided not to
because of the limited estimates at the time – so thank you Jennifer for
sharing your findings. Dr’s Kreisberg & Ruhoy’s very nice Oct. 2010 report,
“<i>Bay Area Medication Disposal Study 2009, An Inventory of Household
Pharmaceutical Waste</i>” estimated packaging based on volume. So based on the
three weight-based estimates below, the average amount of packaging by weight
would be about <b>41%</b> although compared to the fourth estimate below, it
may be a little higher. </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Minnesota Pollution Control Agency, Program Management
Decision Memo. <i>Facilitating safe and efficient collection and management of
waste pharmaceuticals generated from households</i>. Sept. 9, 2010. Pg. 5</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>“The ratio of pharmaceutical weight to packaging weight
for the non-hazardous non-controlled substance pharmaceuticals was
approximately 1.7:1 (158 pounds to 94 pounds). Hazardous waste
pharmaceuticals would likely demonstrate a similar pharmaceutical weight to
packaging weight ratio.”</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span
style='color:#1F497D'>37% packaging </span></b><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Grasso, Cheri, et al., (2009) Secure Medicine Return in
Washington State, The PH:ARM Pilot. Available: <a
href="http://www.takebackyourmeds.org/pdf-files/pharm-final-report"
target="_blank">http://www.takebackyourmeds.org/pdf-files/pharm-final-report</a>.
pg 45.</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>“Packaging containers, estimated at 28 percent of the
total weight of medicines collected…”</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span
style='color:#1F497D'>28% packaging</span></b><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Health Canada, "Pharmaceutical Disposal Programs for
the Public: A Canadian Perspective", Nov 6, 2009. Annex 6: International
Programs. Available: <a
href="http://www.productstewardship.us/associations/6596/files/Takeback%20%282%29.pdf"
target="_blank">http://www.productstewardship.us/associations/6596/files/Takeback%20%282%29.pdf</a>.
Pg. 70.</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> “France Cyclamed Program … Diversion rate:</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>o Pharmaceuticals and packages 0.21 kg / capita in 2006.</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>o Pharmaceutical substances alone 0.09 kg / capita in
2006.”</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span
style='color:#1F497D'>57% packaging</span></b><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Tim Grayling, Prepared for World Health Organization,
―Guidelines for Safe Disposal of</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Unwanted Pharmaceuticals in and after Emergencies‖ 1999.
Available at:</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'><a
href="http://www.who.int/water_sanitation_health/medicalwaste/pharmaceuticals/en/"
target="_blank">http://www.who.int/water_sanitation_health/medicalwaste/pharmaceuticals/en/</a>.
pg 2</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>“The gross weights mentioned previously include
packaging. Actual pharmaceutical contents may be half, or less than half, of
the gross weight.”</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span
style='color:#1F497D'>≥50% packaging</span></b><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Mr. Burke Lucy</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Integrated Waste Management Specialist</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Department of Resources Recycling and Recovery
(CalRecycle)</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>1001 I Street, PO Box 4025</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Sacramento, CA 95812</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'><a href="mailto:Burke.Lucy@CalRecycle.ca.gov"
target="_blank">Burke.Lucy@CalRecycle.ca.gov</a></span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'><a href="tel:916.341.6592" target="_blank">916.341.6592</a>
</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<div>
<div style='border:none;border-top:solid windowtext 1.0pt;padding:3.0pt 0in 0in 0in;
border-color:-moz-use-text-color -moz-use-text-color'>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span
style='font-size:10.0pt'>From:</span></b><span style='font-size:10.0pt'> <a
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a>
[mailto:<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"
target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Volkman,
Jennifer (MPCA)<br>
<b>Sent:</b> Wednesday, June 01, 2011 3:04 PM<o:p></o:p></span></p>
<div>
<p class=MsoNormal><span style='font-size:10.0pt'><br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></span></p>
</div>
<p class=MsoNormal><b><span style='font-size:10.0pt'>Subject:</span></b><span
style='font-size:10.0pt'> RE: [Pharmwaste] weight of packaging vs weight of
pills at collection events</span><o:p></o:p></p>
</div>
</div>
<div>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#002060'>Pages 4 and 5 of this document have the results of the
sort we did at one of the county collection sites. They had 5, 55 gallon drums
collected over a 3 month period that we dumped out and took apart. There were
some things, like powder and aerosol inhalers, that we didn’t take apart
because of exposure concerns. We estimated the amounts of liquids and
gels/creams vs. packaging weight based on eyeballing the remaining contents and
subtracting that from the total weight instead of dumping or squeezing them
out. I think it was done well enough to give a good idea of percentages of
packaging vs. pills/liquids/gels. </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#002060'> </span><o:p></o:p></p>
<div>
<div style='border:none;border-top:solid windowtext 1.0pt;padding:3.0pt 0in 0in 0in;
border-color:-moz-use-text-color -moz-use-text-color'>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span
style='font-size:10.0pt'>From:</span></b><span style='font-size:10.0pt'> <a
href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a>
[mailto:<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us"
target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Matthew
C. Mireles<br>
<b>Sent:</b> Tuesday, May 31, 2011 2:31 PM<br>
<b>To:</b> Marti Martz; <a href="mailto:pharmwaste@lists.dep.state.fl.us"
target="_blank">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Cc:</b> <a href="mailto:djlefeber@comofcom.com" target="_blank">djlefeber@comofcom.com</a>;
Elizabeth A. Smith PhD; Cheenu<br>
<b>Subject:</b> Re: [Pharmwaste] weight of packaging vs weight of pills at
collection events</span><o:p></o:p></p>
</div>
</div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'> <o:p></o:p></p>
<p><span style='font-size:10.0pt;color:black'>Marti,</span><o:p></o:p></p>
<p><span style='font-size:10.0pt;color:black'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:10.0pt;color:black'>Solid medicines are administered
orally as powders, pills, cachets, capsules or tablets. These are
technical classification of the form in which medicine is produced and
marketed. Tablets and capsules currently account for more than 2/3 of total
number and cost of solid medicines produced globally. Tablet is defined as
a compressed solid dosage form containing medicaments with or without diluents.
It's easier to mass produce, package and distribute tablets and capsules.
Many peoplegroup them boardly into "pills". When we
refer to "pills" in the National Unused and Expired Medicines
Registry, we include tablets, capsules and pills. From various sampling,
we don't get much powders or pills, except products categorized as CAM:
alternative and complementary medicines (herbals, teas, extracts, etc.).
Yes, people are returning supplements and CAM along with their unwanted meds
and some illicit "recreational" drugs.</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:black'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:10.0pt;color:black'>Tablets come in various shape, size and
weight, depending on the actual amount of medicinal substances and the intended
mode of administration. Tablet is the most popular dosage form and
accounts for about 70% of the total solid medicines dispensed in US and abroad.</span><o:p></o:p></p>
<p><span style='font-size:10.0pt;color:black'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:10.0pt;color:black'>For our data analysis, we followed the
consensus of the MBSG steering committee to collect at minimum 5 essential
variables (name of drug, strength, quantity returned, reason for return, zip
code). For reliability, only the <b>quantity return</b> for solid
medicines (pills, tablets and capsules) was selected for quantitative
analysis. We estimate the proportion of wasted medicine by the quantity
and extrapolated standard packsize (what we expect the original quantity of
medicine should be on an average based on drug name and strength; reference Red
Book). We performed a small closed population study to compare our
"guessing" with the actual prescription quantity on the label.
The correlation was 0.96. We continue to study our extrapolation method
to further validate our protocol.</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:black'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:10.0pt;color:black'>As you can see, we don't particularly get
involved with weight of medicine so much as others who directly deal with collection, handling,
disposal and destruction of the drugs. Weight or volume are used to
price the cost of shipment and incineration. However, we have been asked
occasionally to give an estimate of the collected medicines in the Registry.
For this, we use a standard weight reference from an international health group
that declared <b>300mg </b>as the "average" weight of a
"pill", based on the common aspirin. Subtracting this
calculated total weight for "pills" from the total weight of the
entire sample of packages with the pills would provide a crude weight for
packaging materials. To answer your answer regarding a
"consensus", the answer is "no". </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:black'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:10.0pt;color:black'>A good contact for this discussion is the
Green Pharmacy folks in CA. I just reviewed a paper by Joel Kreisberg and
Ilene Ruhoy that describes a pilot drug collection program in the Bay Area,
2009-2010. They did an outstanding job characterizing each returned
medicine (solid, liquids, gels, etc.). The data collection was robust to
include actual prescribed quantity (number of pills) and the type of materials
(glass, foil, paper, plastic) and estimated proportion of packaging
materials. We only reviewed the final draft. I'm not sure if
this paper with final corrections is publicly available. Please
contact Dr. Joel Kreisberg for more info, <a
href="mailto:drkreisberg@teleosis.org" target="_blank">drkreisberg@teleosis.org</a></span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:black'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:10.0pt;color:black'>I'm sorry for the long answer to your
short question. Have you registered your unwanted meds collection
events/program in the National Directory of Drug Take-Back Programs? We
are releasing our Second Edition of the National Directory with more than 400
registered events and programs around the country. This Directory will go
to the city and county health and waste management departments. </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:black'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:10.0pt;color:black'>Matthew Mireles</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><b><span
style='font-size:10.0pt;color:black'> </span></b><o:p></o:p></p>
<blockquote style='border:none;border-left:solid windowtext 1.5pt;padding:0in 0in 0in 3.0pt;
margin-left:0in;margin-top:5.0pt;margin-bottom:5.0pt;border-color:-moz-use-text-color -moz-use-text-color -moz-use-text-color blue'>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='font-size:10.0pt;color:black'>-----Original Message----- <br>
From: Marti Martz <br>
Sent: May 31, 2011 11:18 AM <br>
To: <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a>
<br>
Subject: [Pharmwaste] weight of packaging vs weight of pills at collection
events <br>
<br>
Hello All,<br>
I am involved in unwanted meds collection events around the Great Lakes through
a GLRI funded project titled "Undo the Great Lakes Chemical Brew: Proper
PPCP Disposal." At some of these events it is possible to separate
packaging from pills, at others it is not. I'm looking for a general consensus
on weight of pills vs. weight of packaging. Does such a formula exist?<br>
Marti Martz<br>
<br>
<br>
On 5/27/2011 10:32 AM, Tenace, Laurie wrote: </span><o:p></o:p></p>
<div>
<div>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
margin-left:.5in'><span style='color:#1F497D'>Anyone in CA want to discuss
this? What will the display materials say?</span><o:p></o:p></p>
<h3 style='margin-left:.5in'>San Francisco To Launch Waste Medications Take
Back Scheme<o:p></o:p></h3>
<p style='margin-left:.5in'>On Tuesday, the San Francisco Board of Supervisors
approved proceeding with a trial program for the collection of expired and
unwanted prescription drugs. The pilot takes effect on December 1 of this year.
<o:p></o:p></p>
<p style='margin-left:.5in'>Under the plan, pharmacies will be required to post
"display materials" about the safe disposal of unused prescription
drugs by the aforementioned date. Pharmacies not complying with the require
would first receive a warning then be subject to a fine. <o:p></o:p></p>
<p style='margin-left:.5in'>The plan was approved by the San Francisco Small
Business Commission and is receiving funding by the pharmaceutical industry.
Recently enacted California SB 966, tasks CalRecycle with developing criteria
and program models for collecting and disposing of waste pharmaceuticals
statewide. <o:p></o:p></p>
<p style='margin-left:.5in'>For more information visit <a
href="http://www.sfbos.org/ftp/uploadedfiles/bdsupvrs/bosagendas/materials/bag052411_110025.pdf"
target="_blank">http://www.sfbos.org/ftp/uploadedfiles/bdsupvrs/bosagendas/materials/bag052411_110025.pdf</a>.
<o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
margin-left:.5in'> <o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
margin-left:.5in'><span style='color:#1F497D'>Laurie</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Laurie Tenace</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Environmental Specialist</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Waste Reduction Section</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Florida Department of Environmental Protection</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>2600 Blair Stone Rd., MS 4555</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>Tallahassee FL 32399-2400</span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>P: <a href="tel:850.245.8759" target="_blank">850.245.8759</a></span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'>F: <a href="tel:850.245.8811" target="_blank">850.245.8811</a></span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'><a href="mailto:Laurie.Tenace@dep.state.fl.us"
target="_blank">Laurie.Tenace@dep.state.fl.us</a> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'><a href="http://www.dep.state.fl.us/" target="_blank">http://www.dep.state.fl.us/</a></span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><span
style='color:#1F497D'> </span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:12.0pt'><span
style='font-size:10.0pt;color:black'> </span><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><i><span
style='font-size:10.0pt;color:black'>The Department of Environmental Protection
values your feedback as a customer. DEP Secretary Herschel T. Vinyard Jr. is
committed to continuously assessing and improving the level and quality of
services provided to you. Please take a few minutes to comment on the quality
of service you received. Simply click on <a
href="http://survey.dep.state.fl.us/?refemail=Laurie.Tenace@dep.state.fl.us"
target="_blank">this link to the DEP Customer Survey</a>. Thank you in advance
for completing the survey.</span></i><o:p></o:p></p>
</div>
</div>
</div>
<pre><span style='color:black'> </span><o:p></o:p></pre><pre><span
style='color:black'>---</span><o:p></o:p></pre><pre><span style='color:black'>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.</span><o:p></o:p></pre><pre><span
style='color:black'>---</span><o:p></o:p></pre><pre><span style='color:black'>TO SUBSCRIBE, go to: <a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"
target="_blank">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a> </span><o:p></o:p></pre><pre><span
style='color:black'>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a
href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us" target="_blank">pharmwaste-unsubscribe@lists.dep.state.fl.us</a> -- the subject line and body of the e-mail should be blank.</span><o:p></o:p></pre><pre><span
style='color:black'>If you believe you may be subscribed with a different email address, please visit the subscriber listing at <a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste"
target="_blank">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a> </span><o:p></o:p></pre><pre><span
style='color:black'>FOR PROBLEMS: Contact List Administrator <a
href="mailto:Laurie.Tenace@dep.state.fl.us" target="_blank">Laurie.Tenace@dep.state.fl.us</a> </span><o:p></o:p></pre><pre><span
style='color:black'>SEND MAIL to the list server at: <a
href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a></span><o:p></o:p></pre>
<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:12.0pt'><span
style='font-size:10.0pt;color:black'> </span><o:p></o:p></p>
<pre><span style='color:black'>-- </span><o:p></o:p></pre><pre><span
style='color:black'>----------------------------</span><o:p></o:p></pre><pre><span
style='color:black'>Marti Martz</span><o:p></o:p></pre><pre><span
style='color:black'>Pennsylvania Sea Grant</span><o:p></o:p></pre><pre><span
style='color:black'>301 Peninsula Drive, Suite 3</span><o:p></o:p></pre><pre><span
style='color:black'>Erie,Pa 16505</span><o:p></o:p></pre><pre><span
style='color:black'><a href="mailto:mam60@psu.edu" target="_blank">mam60@psu.edu</a></span><o:p></o:p></pre><pre><span
style='color:black'>Phone:<a href="tel:814.217.9015" target="_blank">814.217.9015</a></span><o:p></o:p></pre><pre><span
style='color:black'>fax <a href="tel:814.217.9021" target="_blank">814.217.9021</a></span><o:p></o:p></pre><pre><span
style='color:black'>----------------------------</span><o:p></o:p></pre></blockquote>
</div>
</div>
</div>
</div>
<p class=MsoNormal style='margin-bottom:12.0pt'><br>
---<br>
Note: As a courtesy to other listserv subscribers, please post messages to the
listserv in plain text format to avoid the garbling of messages received by
digest recipients.<br>
---<br>
TO SUBSCRIBE, go to: <a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste"
target="_blank">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a><br>
TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a
href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us">pharmwaste-unsubscribe@lists.dep.state.fl.us</a>
-- the subject line and body of the e-mail should be blank.<br>
If you believe you may be subscribed with a different email address, please
visit the subscriber listing at <a
href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste"
target="_blank">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a><br>
FOR PROBLEMS: Contact List Administrator <a
href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a><br>
SEND MAIL to the list server at: <a
href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></p>
</div>
<p class=MsoNormal style='margin-bottom:12.0pt'><br>
<br clear=all>
<br>
-- <br>
Dr. Joel Kreisberg, DC, MA<br>
Executive Director<br>
Teleosis Institute<br>
<a href="http://www.teleosis.org" target="_blank">www.teleosis.org</a><br>
<a href="mailto:drkreisberg@teleosis.org" target="_blank">drkreisberg@teleosis.org</a><br>
510-558-7285<o:p></o:p></p>
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