Colorado's assessment of waste from LTCs is the same as Minnesota's-we consider the waste to be generated by a business and thus fully subject to RCRA requirements. We too have found that LTC residents almost never have control of their own meds and furthermore, LTC licensing requirements in Colorado <i>require</i> the LTC to maintain strict control of the medications from the dispensing all the way through disposal. The residents have no control or knowledge regarding how their meds are disposed.<div>
<br></div><div>Last week Colorado sent out the attached flier to every licensed nursing home in the state. Currently, most nursing homes in Colorado are disposing of their waste meds (RCRA and non RCRA hazardous) in the trash, down the drain or in the sharps container. This flier is the cornerstone of our initiative to change this current disposal practice by September 1 of 2013. </div>
<div><br></div><div>Based on drug disposal logs, our initial estimate is that nursing homes in Colorado generate 24,000 - 67,000 lbs of medication waste per year. We plan to gather additional data to determine the accuracy of that estimate.</div>
<div><br></div><div>I would be interested to know how/whether other states are working with LTCs.</div><div><div>
<br></div><div>-- <br><div>Lillian Gonzalez, Health Care Sector Lead</div><div>Hazardous Waste Compliance Assurance Unit</div><div>Colorado Department of Public Health and Environment</div><div>4300 Cherry Creek Drive South</div>
<div>Denver, CO 80246-1530</div><div>303.692.3351</div><div> </div><div>See our resources regarding medical and pharmaceutical wastes at:</div><div><span style="font-family:Calibri,sans-serif;font-size:11pt"><a href="http://www.colorado.gov/cdphe/medicalwaste" target="_blank">www.colorado.gov/cdphe/medicalwaste</a></span></div>
<div><span style="font-family:Calibri,sans-serif;font-size:11pt"></span> </div><br><div class="gmail_quote">On Fri, Mar 8, 2013 at 11:30 AM, Volkman, Jennifer (MPCA) <span dir="ltr"><<a href="mailto:jennifer.volkman@state.mn.us" target="_blank">jennifer.volkman@state.mn.us</a>></span> wrote:<br>
<blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div lang="EN-US" link="blue" vlink="purple" style="margin-left:3.0pt;margin-top:3.0pt;margin-right:3.0pt;margin-bottom:.75pt">
<div style="direction:ltr;font-size:12pt;font-family:Calibri">
That is an option that is pretty specific to Minnesota, just to note.
<div><br>
<div>I was trying to point out that EPA views HW pharms generated from LTC's to be a business generated waste, not a HH waste. The earlier reference to an EPA publication stated that if the pharms are under the control of the resident (of a LTC, prison, hospital,
etc), then they can be managed as a household waste. However, I do not know of any LTC, prison or hospitals that allow patients to have control of their pharms. The institutions store pharms at a central location and their staff distribute pharms to residents/patients,
therefore, the waste is institutional waste.</div>
<div><br>
</div>
<div>The only possible exception to management other than as a HW via a HW transporter to a HW facility is if the institution is a CESQG generator. That small level of generator may have more flexibility from state to state because EPA's regulations are lighter
for these small generators, hence the name "conditionally exempt". If the institutions distribute the pharms and are SQG or LQG's there is no way out of management as a HW. But remember that only a small percentage of pharms are designated to be HW and the
list of what is considered hazardous also varies from state to state.<br>
<div style="font-size:16px;font-family:Times New Roman">
<hr>
<div style="direction:ltr"><font face="Tahoma" color="#000000"><b>From:</b> Zimmer, Catherine (PSC) [<a href="mailto:Catherine.Zimmer@pscnow.com" target="_blank">Catherine.Zimmer@pscnow.com</a>]<br>
<b>Sent:</b> Friday, March 08, 2013 10:29 AM<br>
<b>To:</b> Volkman, Jennifer (MPCA); <a href="mailto:Pharmwaste@lists.dep.state.fl.us" target="_blank">Pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] Household definition vs prison<br>
</font><br>
</div>
<div></div>
<div>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Hi Jennifer and all,</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Just a clarification on CESQG waste in MN. CESQG can transport HW in their own vehicle with a bill of lading to a CESQG collection site.
</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Very truly yours,</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> </span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Catherine Zimmer, MS, BSMT</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Technical Advisor, Environmental & Healthcare</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">PSC Environmental Services</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Ph: 713.829.6365</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"><a href="http://www.pscnow.com" target="_blank"><span style="color:blue">www.pscnow.com</span></a></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> </span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#00b050">Live green now! Reduce, reuse, repair, recycle.</span></b></p>
<div>
<div style="border:none;border-top:solid #b5c4df 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><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""> <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> Friday, March 08, 2013 8:04 AM<br>
<b>To:</b> <a href="mailto:Pharmwaste@lists.dep.state.fl.us" target="_blank">Pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] Household definition vs prison</span></p>
</div>
</div>
<p class="MsoNormal"> </p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#002060">EPA considers HW generated from prisons to be institutional waste, so we go by that. If the prison is a CESQG, disposal requirements may be less restrictive
in some states (like maybe they can use HH collection kiosks for HW pharms). In MN, CESQG’s have to manage their HW just like any other larger generator--with a HW transporter to a HW facility.</span></p>
<div>
<div style="border:none;border-top:solid #b5c4df 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><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"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Fred Miller<br>
<b>Sent:</b> Thursday, March 07, 2013 3:38 PM<br>
<b>To:</b> 'Gilliam, Allen'; <a href="mailto:Pharmwaste@lists.dep.state.fl.us" target="_blank">
Pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] Household definition vs prison</span></p>
</div>
</div>
<p class="MsoNormal"> </p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">To me the prison setting most closely resembles a hospital. The cells are more akin to hospital rooms than to hotel, dorm, or bunkhouse rooms where property
owners have little control over the activities of individual residents.</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Fred</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> </span></p>
<div>
<div style="border:none;border-top:solid #b5c4df 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><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"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Gilliam, Allen<br>
<b>Sent:</b> Thursday, March 07, 2013 1:14 PM<br>
<b>To:</b> '<a href="mailto:Pharmwaste@lists.dep.state.fl.us" target="_blank">Pharmwaste@lists.dep.state.fl.us</a>'<br>
<b>Subject:</b> RE: [Pharmwaste] Household definition vs prison</span></p>
</div>
</div>
<p class="MsoNormal"> </p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1f497d">“Considering a prison cell block to be a ‘multiple residence’ or maybe a ‘bunkhouse’, it would be reasonable to consider it to be residential household waste. There’s no official
definition, opinion, or determination to that effect, however…”</span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1f497d">From one of our haz waste gurus…</span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1f497d">Allen Gilliam/ADEQ State Pretreatment Coordinator</span></p>
<div>
<div style="border:none;border-top:solid #b5c4df 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><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"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Bunnell, Ross<br>
<b>Sent:</b> Thursday, March 07, 2013 2:07 PM<br>
<b>To:</b> '<a href="mailto:Pharmwaste@lists.dep.state.fl.us" target="_blank">Pharmwaste@lists.dep.state.fl.us</a>'<br>
<b>Subject:</b> FW: [Pharmwaste] Household definition vs prison</span></p>
</div>
</div>
<p class="MsoNormal"><span style="color:#1f497d">I think we would say that it’s household hazardous waste, as long as it’s generated by the inmate in his cell, and not, say, by a medical care provider in a prison infirmary or hospital.</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">--Ross Bunnell</span></b></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Sanitary Engineer 3</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">-----------------------</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Connecticut Department of Energy & Environmental Protection (DEEP)</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Bureau of Materials Management & Compliance Assurance</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Waste Engineering & Enforcement Division</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">79 Elm Street</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Hartford, CT 06106-5127</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Office: (860) 424-3274</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Fax: (860) 424-4059</span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><u><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Email</span></u><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">:
<a href="mailto:ross.bunnell@ct.gov" target="_blank">ross.bunnell@ct.gov</a> </span>
</p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><u><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">Website</span></u><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d">:
<a href="http://www.ct.gov/deep" target="_blank">www.ct.gov/deep</a> </span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1f497d"> </span></p>
<div>
<div style="border:none;border-top:solid #b5c4df 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><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"">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us" target="_blank">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>William More<br>
<b>Sent:</b> Thursday, March 07, 2013 2:24 PM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] Household definition vs prison</span></p>
</div>
</div>
<p class="MsoNormal"> </p>
<div>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">How does your state classify waste generated by a state corrections prisoner in his cell? Household Waste(like residential waste) or
Institutional Waste?</span></p>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<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" target="_blank">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" target="_blank">Laurie.Tenace@dep.state.fl.us</a><br>
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><br>
<br></blockquote></div><br><br clear="all"><div><br></div>-- <br><div>Lillian Gonzalez, Health Care Sector Lead</div>
<div>Hazardous Waste Compliance Assurance Unit</div>
<div>Colorado Department of Public Health and Environment</div>
<div>4300 Cherry Creek Drive South</div>
<div>Denver, CO 80246-1530</div>
<div>303.692.3351</div>
<div> </div>
<div>See our resources regarding medical and pharmaceutical wastes at:</div>
<div><span style="FONT-FAMILY:'Calibri','sans-serif';FONT-SIZE:11pt"><a href="http://www.colorado.gov/cdphe/medicalwaste" target="_blank">www.colorado.gov/cdphe/medicalwaste</a></span></div>
<div><span style="FONT-FAMILY:'Calibri','sans-serif';FONT-SIZE:11pt"></span> </div>
</div>
</div>