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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Please see attached for a guide, with helpful pictures, to what is accepted and not accepted at most medicine take-back locations in WA State. This pdf provides links to
<a href="http://www.TakeBackYourMeds.org"><span style="color:windowtext">www.TakeBackYourMeds.org</span></a> website for WA State where further information is listed about how to dispose of non-accepted items. Any special restrictions that a take-back site
might have are listed in our searchable database of take-back locations.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-right:3.0pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Best!<o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Calibri","sans-serif"">Margaret Shield PhD, Policy Liaison<br>
Local Hazardous Waste Management Program in King County<o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Calibri","sans-serif"">(desk) 206-477-6238<br>
(cell) 206-265-9732 <br>
<i>Local Governments for Health and the Environment - <a href="http://www.lhwmp.org/">
<span style="color:windowtext">www.lhwmp.org</span></a></i><br>
</span><span style="font-size:7.5pt;font-family:"Tahoma","sans-serif""> <o:p></o:p></span></p>
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<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""> pharmwaste-bounces@lists.dep.state.fl.us [mailto:pharmwaste-bounces@lists.dep.state.fl.us]
<b>On Behalf Of </b>Volkman, Jennifer (MPCA)<br>
<b>Sent:</b> Friday, June 06, 2014 8:55 AM<br>
<b>To:</b> Howard Anderson; 'Ed Gottlieb'; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] What to restrict from drop-boxes?<o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-family:"Calibri","sans-serif";color:black">We don't restrict liquids or aerosols in MN and have no plans to do so. I don't know why there is mention of restrictions related to shipment
by air--for disposal? No one does that. This is not an issue. <o:p></o:p></span></p>
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<b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Howard Anderson [NDBoPh@btinet.net]<br>
<b>Sent:</b> Thursday, June 05, 2014 9:24 AM<br>
<b>To:</b> 'Ed Gottlieb'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] What to restrict from drop-boxes?</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Sometimes we come up with so many scare tactics, we do not accomplish anything!</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Howard</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Howard C. Anderson, Jr.,R.Ph.</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Retired and Now</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Treasurer/Chief Compliance Officer</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">North Dakota Board of Pharmacy</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">1906 E. Broadway Ave.</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">P.O. Box 1354</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Bismarck, ND 58502-1354</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Phone (701) 328-9535</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Fax (701) 328-9536</span><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Arial","sans-serif";color:#1F497D">Web site
<a href="http://www.nodakpharmacy.com">www.nodakpharmacy.com</a></span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:black">
<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>]
<b>On Behalf Of </b>Ed Gottlieb<br>
<b>Sent:</b> Wednesday, June 04, 2014 9:31 AM<br>
<b>To:</b> <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] What to restrict from drop-boxes?</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:black"> <o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Hi pharmwaste listserv,</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">All drop-box programs list items that are accepted and items that aren't.
</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Sharps, bio-hazardous waste, chemotherapy medications, and thermometers are almost always listed as not accepted. Some
programs specifically restrict less (or more!) obvious items such as: trash, mail, and guns.</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">I think we can all agree there are good reasons for not accepting any of these items. </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">What about liquids, ointments, inhalers, and aerosol cans? I regularly see these on "not accepted" lists. </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Most boxes have internal, removable totes that should be lined with a plastic bag. Liquid spills should not be a problem from
the clean-up perspective. I've not seen any evidence that spilled liquids can cause dangerous chemical reactions to occur, an explanation I was given for one programs ban. Are there documented problems caused by a spill of hydrogen peroxide, alcohol, or
any other liquid medication? Can explosive conditions develop? Will active ingredients volatilize and contaminate the air if spilled alcohol dissolves medication it comes in contact with?
</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Do inhalers and other aerosol cans actually cause problems in a drop-box or at the incinerator?
</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">I believe that most programs copy their "not accepted" list from an existing program. Maybe some of these restricted
items could be safely accepted? Or, is it wiser to keep restricting them to avoid a possible hazard, however unlikely?</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">With luck, pharmacies will soon be launching their own programs, greatly expanding the accessability of take-back programs.
Can we offer them guidance on this issue? Your thoughts are appreciated.</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Ed</span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal" style="margin:0in;margin-bottom:.0001pt"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"> </span><span style="color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="color:black">Ed Gottlieb<br>
Chair, Coalition for Safe Medication Disposal <br>
Industrial Pretreatment Coordinator <br>
Ithaca Area Wastewater Treatment Facility<br>
525 3rd Street<br>
Ithaca, NY 14850<br>
(607) 273-8381<br>
fax: (607) 273-8433<o:p></o:p></span></p>
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