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Well then, I guess we're lucky in MN to be able to transport whatever is put in the bins to local WTE's. I wasn't referring to mail back or reverse distribution, which I don't think anyone does with the contents of the bins. I didn't think about Alaska or Hawaii.
Sorry peoples from God's country's! :)
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<div>To curl the discussion back toward contents in general... I did like how WA stated said no peroxide. The DEA rules will curtail our ability to visually check contents as they are dumped from the collection container inside the bin into the container that
goes to the WTE. It is where programs do a check for thermometers--mainly mercury; I think they let everything else go. <span style="font-size: 12pt;">I believe most sites use plastic lined fiber containers for shipping waste, so they'll have to collect in
those and just put the lid on.</span><span style="font-size: 12pt;"> </span><span style="font-size: 12pt;">We'll lose that checking ability, which is unfortunate. I did a quick poll and I think the number of thermometers caught was 3, statewide in several
years time. I think I'll check again. The one item I was trying to get some support from the Board of Pharmacy on is chemotherapy waste management. Those drugs should go back to the clinic they came from for proper handling. The poll I did on that showed very
little coming in, mainly a pill form that is probably ok to put in the bins, but some of that is very toxic and should not go in bins. </span></div>
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</span></div>
<div>Has any state had luck with ensuring chemotherapy waste goes back to the hospital or clinic that provides it?</div>
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<div id="divRpF191953" style="direction: ltr;"><font face="Tahoma" size="2" color="#000000"><b>From:</b> Catherine [zenllc@usfamily.net]<br>
<b>Sent:</b> Monday, June 09, 2014 9:06 AM<br>
<b>To:</b> 'DeBiasi, Deborah (DEQ)'; Volkman, Jennifer (MPCA); 'Howard Anderson'; 'Ed Gottlieb'; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] What to restrict from drop-boxes?<br>
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<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Hi all,</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">You’re right Fred, AK uses a lot of air transport, however for haz mats/HW, shipment by freighter is an option.
</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Deborah, if a disposal company is a reverse distributor, they can take back controlled substances. Where the problems arise is when the controlled substance
may also be considered a hazardous waste, e.g. a testosterone gel with alcohol—then shipments by mail/UPS/FedEx are not permitted. Because consumer pharmaceuticals are not regulated by EPA, there is a haz waste exemption, but not necessarily a hazardous material
exemption under DOT rules. </span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Its all very complicated and locality rules can make it even more so.
</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">That is why I continue to beat the distant, albeit best option, source reduction drum.
</span><span style="font-size:11.0pt; font-family:Wingdings; color:#1F497D">J</span><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"></span></p>
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<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">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">Zimmer Environmental Improvement, LLC</span></p>
<p class="MsoNormal" style="margin:0in; margin-bottom:.0001pt"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">St. Paul, MN
</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: 651.645.7509</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="mailto:zenllc@usfamily.net" target="_blank"><span style="color:blue">zenllc@usfamily.net</span></a></span></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </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>DeBiasi, Deborah (DEQ)<br>
<b>Sent:</b> Monday, June 09, 2014 8:40 AM<br>
<b>To:</b> Catherine; 'Volkman, Jennifer (MPCA)'; 'Howard Anderson'; 'Ed Gottlieb'; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] What to restrict from drop-boxes?</span></p>
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<p class="MsoNormal"> </p>
<p class="MsoNormal"><span style="color:#000099">As far as I know, mail-back companies cannot take back controlled substances, which is the category for most of the hazardous waste items.
</span></p>
<p class="MsoNormal"><span style="color:#000099"> </span></p>
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<p class="MsoNormal" style="margin:0in; margin-bottom:.0001pt"><span style="font-size:10.0pt; color:navy">Deborah L. DeBiasi</span><span style="font-size:10.0pt; color:#000099">,
</span><span style="font-size:10.0pt; color:navy">Virginia DEQ</span><span style="font-size:10.0pt; color:#000099">
<br>
</span><span style="font-size:10.0pt; color:navy">Office of Water Permits </span>
<span style="font-size:10.0pt; color:#000099"><br>
</span><b><span style="font-size:10.0pt; color:navy">Email: <a href="mailto:Deborah.DeBiasi@deq.virginia.gov" target="_blank">Deborah.DeBiasi@deq.virginia.gov</a></span></b><b><i><span style="font-size:10.0pt; color:#000099"><br>
</span></i></b><span style="font-size:10.0pt; color:navy">PH: 804-698-4028</span><span style="font-size:10.0pt; color:#000099"></span></p>
</div>
<p class="MsoNormal"><span style="color:#000099"> </span></p>
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<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>Catherine<br>
<b>Sent:</b> Monday, June 09, 2014 9:28 AM<br>
<b>To:</b> 'Volkman, Jennifer (MPCA)'; 'Howard Anderson'; 'Ed Gottlieb'; <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">
pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] What to restrict from drop-boxes?</span></p>
</div>
</div>
<p class="MsoNormal"> </p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Hi all,</span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Actually, as you all know, a great deal of consumer pharmaceutical waste is disposed of via mail or send back programs, which may be sent via air. So it
is something to consider when putting together collection programs. </span></p>
<div>
<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">Zimmer Environmental Improvement, LLC</span></p>
<p class="MsoNormal" style="margin:0in; margin-bottom:.0001pt"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">St. Paul, MN
</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: 651.645.7509</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="mailto:zenllc@usfamily.net" target="_blank"><span style="color:blue">zenllc@usfamily.net</span></a></span></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </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"">
<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>Volkman, Jennifer (MPCA)<br>
<b>Sent:</b> Friday, June 06, 2014 10:55 AM<br>
<b>To:</b> Howard Anderson; 'Ed Gottlieb'; <a href="mailto:pharmwaste@lists.dep.state.fl.us" target="_blank">
pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] What to restrict from drop-boxes?</span></p>
</div>
</div>
<p class="MsoNormal"> </p>
<div>
<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. </span></p>
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<div class="MsoNormal" align="center" style="margin:0in; margin-bottom:.0001pt; text-align:center">
<span style="color:black">
<hr size="2" width="100%" align="center">
</span></div>
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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" target="_blank">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" target="_blank">
pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] What to restrict from drop-boxes?</span><span style="color:black"></span></p>
</div>
<div>
<div>
<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"></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span><span style="color:black"></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D">Howard</span><span style="color:black"></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span><span style="color:black"></span></p>
<div>
<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"></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"></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"></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"></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"></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"></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"></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"></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"></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" target="_blank">www.nodakpharmacy.com</a></span><span style="color:black"></span></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt; font-family:"Calibri","sans-serif"; color:#1F497D"> </span><span style="color:black"></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" 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>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" target="_blank">pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> [Pharmwaste] What to restrict from drop-boxes?</span><span style="color:black"></span></p>
</div>
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<p class="MsoNormal"><span style="color:black"> </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"></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"></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"></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"></span></p>
</div>
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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"></span></p>
</div>
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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"></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"></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"></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"></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"></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"></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"></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"></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"></span></p>
</div>
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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"></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"></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</span></p>
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