<HTML><HEAD>
<META content="text/html; charset=utf-8" http-equiv=Content-Type>
<META name=GENERATOR content="MSHTML 8.00.6001.19258"></HEAD>
<BODY style="FONT: 10pt Tahoma; MARGIN: 4px 4px 1px" dir=ltr>
<DIV dir=ltr>
<DIV style="FONT-SIZE: 12pt; FONT-FAMILY: 'Calibri'; COLOR: #000000">
<DIV>Hi William,</DIV>
<DIV>As a former RCRA inspector who helped start MN’s healthcare haz. waste
initiative, I would say that “no”, sterilization is used to eliminate
pathogens/microbes, but is not adequate treatment for hazardous chemicals.
This has always been part of the concern associated with treating say, mercury
contaminated lab reagents as “infectious” waste. And, as Jeff Hollar
mentioned, theoretically, if the hospital is sterilizing the waste warfarin
containers, then it could be considered “treatment”. In my judgement this
would be both improper disposal and treatment without a permit. </DIV>
<DIV> </DIV>
<DIV>I would also ask what they are testing for. To the best of my
knowledge, there is no exit from the P-listing for warfarin. </DIV>
<DIV> </DIV>
<DIV style="FONT-SIZE: 12pt; FONT-FAMILY: 'Calibri'; COLOR: #000000">Very truly
yours,<BR><BR>Catherine Zimmer, MS, BSMT<BR>Principal<BR>Zimmer Environmental
Improvement LLC<BR>Ph: 651.645.7509</DIV>
<DIV
style="FONT-SIZE: small; FONT-FAMILY: 'Calibri'; FONT-WEIGHT: normal; COLOR: #000000; FONT-STYLE: normal; TEXT-DECORATION: none; DISPLAY: inline">
<DIV style="FONT: 10pt tahoma">
<DIV> </DIV>
<DIV style="BACKGROUND: #f5f5f5">
<DIV style="font-color: black"><B>From:</B> <A title=wamore@gw.dec.state.ny.us
href="mailto:wamore@gw.dec.state.ny.us">William More</A> </DIV>
<DIV><B>Sent:</B> Wednesday, November 13, 2013 8:13 AM</DIV>
<DIV><B>To:</B> <A title=pharmwaste@lists.dep.state.fl.us
href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</A>
</DIV>
<DIV><B>Subject:</B> [Pharmwaste] How is warfarin disposed at your
Hospital?</DIV></DIV></DIV>
<DIV> </DIV></DIV>
<DIV
style="FONT-SIZE: small; FONT-FAMILY: 'Calibri'; FONT-WEIGHT: normal; COLOR: #000000; FONT-STYLE: normal; TEXT-DECORATION: none; DISPLAY: inline">I
recently came across a Hospital during a Hazardous Waste Inspection that claims
steam sterilized Warfarin contaminated containers are no longer "P Waste."
Has anyone seen this? or records of analysis that can back this up? I'm
waiting on submission of test results, but thought I would see if anyone else
has heard of this.
<P>
<HR>
---<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:
http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste <BR>TO
UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to
pharmwaste-unsubscribe@lists.dep.state.fl.us -- 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
http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste <BR>FOR
PROBLEMS: Contact List Administrator Laurie.Tenace@dep.state.fl.us
<BR>SEND MAIL to the list server at:
pharmwaste@lists.dep.state.fl.us<BR></DIV></DIV></DIV></BODY></HTML>