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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='color:#1F497D'>That’s the easy and cheap part…..for those with the trained staff. That’s why I suggest the HHW programs are the right place to locate the pharm take back programs.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>What Alice has described is only a small part of the equation. When one gets down into the weeds of 49 CFR there are all sorts of nasty little requirements such as initial and refresher training for all HAZMAT employees, having staff with adequate knowledge of the chemical and physical properties of all materials shipped to act as 24/7 emergency response POC while shipments are in transit, transportation security plans (when required), as well as the knowledge and experience to deal with the oddball situations which are sure to crop up. <o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Remember, DOT doesn’t care that we’re doing good things for the community and the environment. All the inspector who catches an improperly manifested load knows is a violation occurred. Once they get done writing your waste hauler a ticket for that, they’re going to come inspect your program. They’re going to want to see at least two years’ worth of shipping records, training records, and your TSP. They’re likely going to interview your employees. Then they’re going to determine whether your violation was just a one-time occurrence, a matter of ignorance, or a matter of willful disregard. First fines are pretty light. Somewhere in the $15-30k range. Get caught again in the subsequent two year period and the entry fee jumps to around $100k. Get a third in that period and they start looking at potential criminal prosecution if the same management/executive level names keep cropping up. Personally, I find the EPA and OSHA to be real pussycats compared to DOT when it comes to enforcement actions. But there are those who insist on trying it their way. You can view their fate on DOT’s web site if you care to look.<o:p></o:p></span></p><p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='color:#1F497D'>Fred Miller<o:p></o:p></span></p><p class=MsoNormal><span style='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"'> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us] <b>On Behalf Of </b>Chapman, Alice<br><b>Sent:</b> Wednesday, March 28, 2012 5:50 PM<br><b>To:</b> 'pharmwaste@lists.dep.state.fl.us'<br><b>Subject:</b> [Pharmwaste] Items Accepted at Permanent Collection<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Hello,<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Part of this discussion thread raised concerns about the potential application of DOT regulations to law enforcement medicine take-back programs.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>When we worked with local pharmacies and other partners to develop take-back programs, we carefully walked thru the DOT regulations with the assistance of DOT staff and were able to find proper shipping names, labels, and convenient non-bulk packaging that suited the operation. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>If law enforcement were to change from self-transportation to using commercial transportation, they could use the same options that have successfully been used at pharmacy take-back programs since 2006. Other areas of the US, such as Maine, have learned how to transport materials in the mail.<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>We recommend that take-back programs stick with standardized protocols that have been demonstrated successful at preventing many of the problems and concerns that were raised in this discussion thread. Appropriate agencies need to be involved in developing protocols that work, and to have a role in ongoing oversight and assistance of take-back operations. Learn about take-back programs in Washington here: <a href="http://www.takebackyourmeds.org/why/how-medicine-take-back-works">http://www.takebackyourmeds.org/why/how-medicine-take-back-works</a>. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Thanks, ac<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><b><span style='font-size:8.0pt;font-family:"Verdana","sans-serif"'>Alice Chapman, PE</span></b><span style='font-size:8.0pt;font-family:"Verdana","sans-serif"'> | Local Hazardous Waste Management Program in King County<br>130 Nickerson St, #100 Seattle, WA 98109 | 206-263-3058 ph | 206-263-3070 fax </span><span style='font-size:8.0pt;font-family:"Arial","sans-serif"'><br></span><span style='font-size:8.0pt;font-family:"Verdana","sans-serif";color:#333399'><a href="mailto:alice.chapman@kingcounty.gov">alice.chapman@kingcounty.gov</a> | <a href="http://www.lhwmp.org">www.lhwmp.org</a> <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif";color:#333399'><img border=0 width=167 height=38 id="Picture_x0020_1" src="cid:image001.jpg@01CD0D98.4C3A9470" alt="0903_LHWMP-nonKCnoWA175"></span><span style='font-size:8.0pt;font-family:"Arial","sans-serif"'><br></span><span style='font-size:8.0pt;font-family:"Verdana","sans-serif"'><br><b>Research Services:</b> <br>Providing the scientific foundation for <br>LHWMP’s technical assistance and programs.</span><o:p></o:p></p></div></body></html>