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<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">The Drug Terminator barrel gets me hot under the collar. My angle on this is that our law enforcement agencies – who have been such excellent partners in providing medicine
take-back program to protect their communities – deserve far better than to be exposed to the fumes from this dangerous burn barrel. Please explain to these agencies that it is not only a regulatory issue, but this device will not completely destroy the pharmaceuticals,
or any packaging, and will create harmful combustion byproducts in the emissions, resulting in unknown and unsafe exposure for their employees.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">EPA’s recommendation for appropriate disposal facilities for collected household medicines is our best guidance at this time.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""><a href="http://www.epa.gov/osw/hazard/generation/pharmaceuticals/pharms-take-back-disposal.pdf"><span style="color:windowtext">http://www.epa.gov/osw/hazard/generation/pharmaceuticals/pharms-take-back-disposal.pdf</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Calibri","sans-serif";color:black">Margaret Shield PhD, Policy Liaison<br>
Local Hazardous Waste Management Program in King County<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Calibri","sans-serif";color:black">(desk) 206-477-6238<br>
(cell) 206-265-9732 <br>
<i>Local Governments for Health and the Environment - <a href="http://www.lhwmp.org/">
www.lhwmp.org</a></i><br>
</span><span style="font-size:7.5pt;font-family:"Tahoma","sans-serif";color:black"> <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
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<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>Gilliam, Allen<br>
<b>Sent:</b> Thursday, September 11, 2014 8:55 AM<br>
<b>To:</b> Catherine Zimmer; 'Jaramillo, Jeanie'; pharmwaste@lists.dep.state.fl.us<br>
<b>Subject:</b> RE: [Pharmwaste] Pills not burning in Terminator<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D">Got my chops busted for even suggesting using the “Terminator” for incinerating pharmaceuticals at LE agencies. Pharmaceuticals are not exempt as “contraband” in the air regs.
Something in the air regs with a bunch of EEEEs in the subpart says so.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D">Yrs ago, the rumor had it that the Terminator was acceptable w/o an air permit; half a dozen cities (or more) went out and bought one just to be told (by our air division) they
couldn’t use them for take-back pharmas. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D">They in-turn called the gubner asking that ADEQ pay for them and I got the blame for saying they were a legit disposal process. I did no such thing and avoided the dreaded pink
slip, but still have scars from the carpet burns…<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D">We probably still have several “Terminating” at night just so the black smoke won’t be seen and the inspectors are at home.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D">Allen Gilliam<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D">ADEQ State Pretreatment Coordinator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D">501.682.0625<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
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<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"">
<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>Catherine Zimmer<br>
<b>Sent:</b> Thursday, September 11, 2014 9:23 AM<br>
<b>To:</b> 'Jaramillo, Jeanie'; <a href="mailto:pharmwaste@lists.dep.state.fl.us">
pharmwaste@lists.dep.state.fl.us</a><br>
<b>Subject:</b> RE: [Pharmwaste] Pills not burning in Terminator<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Hi Jeanie,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">A couple of concerns with Drug Terminator, which looks little more than a souped up burn barrel on their website:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">First, it may need appropriate permits from TCEQ.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">And it appears the unit is not burning high enough to get appropriate destruction. Because some capsules use PVC, inadequate incineration is likely forming
dioxins, a very carcinogenic and toxic class of chemicals. <o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">It is really best to send waste pharmaceuticals to a well managed incinerator, and probably a hazardous waste incinerator. It doesn’t sound like Drug Terminator
is up to the task and emits lots of toxins. That’s not to say most even well managed incinerators don’t emit toxins, they just emit less and do a better job controlling for dioxins.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><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">Very truly yours,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Catherine Zimmer, MS, BSMT<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Zimmer Environmental Improvement, LLC<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">St. Paul, MN
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D">Ph: 651.645.7509<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D"><a href="mailto:zenllc@usfamily.net">zenllc@usfamily.net</a><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"><o:p> </o:p></span></p>
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<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"">
<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>Jaramillo, Jeanie<br>
<b>Sent:</b> Wednesday, September 10, 2014 9:47 PM<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] Pills not burning in Terminator<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Hello All,
<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p> </o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">Do any of you have suggestions for a group that has the Drug Terminator for med incineration, but is having trouble with "pills that are too hard to burn" with
it?<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p> </o:p></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Verdana","sans-serif";color:black">Jeanie Jaramillo, PharmD</span></i><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black">
<o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Verdana","sans-serif";color:black">Managing Director, Texas Panhandle Poison Center</span></i><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Verdana","sans-serif";color:black">Asst. Professor, Texas Tech UHSC School of Pharmacy</span></i><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Verdana","sans-serif";color:black">1300 S. Coulter St., Suite 105</span></i><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Verdana","sans-serif";color:black">Amarillo, TX 79106</span></i><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Verdana","sans-serif";color:black">(office): (806)414-9299</span></i><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Verdana","sans-serif";color:black">(mobile): (806)376-0039</span></i><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black"><o:p> </o:p></span></p>
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