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<div style="direction: ltr;font-family: Tahoma;color: #000000;font-size: 10pt;"><font face="Calibri" size="2">I agree with what Barbara stated, for MN. </font>
<div><font face="Calibri" size="2">Another consideration is that the pouches don't have enough capacity for the average person to use to get rid of what has accumulated over the years. These pouches are available for $5-7 currently at pharmacies. It is cost
prohibitive for people to use the pouches unless they've already cleaned out and need them occasionally. So, the free part is nice and dividing it by 3 still covers a lot of people. What if they can't fit them all in? Then do they go with a mix and dispose
that doesn't bind the pharms? Then you have the same situation we see with pharms showing up in leachate. I haven't seen leach tests on the pouches to back up claims, but maybe someone has them.</font></div>
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<div><font face="Calibri" size="2">I'm not strongly opposed to this option, but just like every other, it has its downside. </font></div>
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<div><font face="Calibri" size="2">Cytotoxic drugs are a whole other level of concern and should be dealt with outside of the collection and disposal system used for all other pharms.</font></div>
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<div><font face="Calibri" size="2">Medical waste incinerators are a whole other animal compared to today's Waste to Energy facilities. From permitting, to what can be put in them. They are not/should not be used for pharms, they are for biohazardous waste.</font></div>
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<div id="divRpF865581" style="direction: ltr;"><font face="Tahoma" size="2" color="#000000"><b>From:</b> Pharmwaste [pharmwaste-bounces@lists.dep.state.fl.us] on behalf of Bickford, Barbara J - DNR (Barb) [Barbara.Bickford@wisconsin.gov]<br>
<b>Sent:</b> Thursday, June 30, 2016 11:20 AM<br>
<b>To:</b> Pharmwaste, the list<br>
<b>Subject:</b> [Pharmwaste] Scott Cassel's question<br>
</font><br>
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Arial","sans-serif"">Scott Cassel asked:
</span>Can any government officials on this list verify that their agencies approve of these pouches being landfilled?
<span style="font-size:10.0pt; font-family:"Arial","sans-serif""> </span></p>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Arial","sans-serif""> </span></p>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Arial","sans-serif"">The answer depends on who is managing the waste: a household, a collection program or a non-household.
</span></p>
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<p class="MsoListParagraph" style="text-indent:-.25in"><span style="font-family:Symbol"><span style="">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:10.0pt; font-family:"Arial","sans-serif"">If a household disposed of the drug-in-a-pouch at home, it could be landfilled under current regulations. Although this is not the best option environmentally, Wisconsin allows
landfilling as a last resort.</span></p>
<p class="MsoListParagraph" style="text-indent:-.25in"><span style="font-family:Symbol"><span style="">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:10.0pt; font-family:"Arial","sans-serif"">If the drug-in-a-pouch ends up at a household medication collection, Wisconsin policy is that collected pharmaceutical waste must be destroyed by incineration. Other states
might have different policies. </span></p>
<p class="MsoListParagraph" style="text-indent:-.25in"><span style="font-family:Symbol"><span style="">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><span style="font-size:10.0pt; font-family:"Arial","sans-serif"">If a non-household, waste management regulations would apply. Under EPA’s RCRA Subtitle C regulations (or state regulations based on them), a non-household would have to
evaluate whether or not the “mixture” of drug + pouch materials is a hazardous waste and manage it accordingly. If it were a hazardous waste, it could not be put in a landfill due to the Subtitle C ban on landfilling hazardous waste. Wisconsin recommends
that all non-household pharmaceutical waste be incinerated, whether hazardous or not.
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<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Arial","sans-serif""> </span></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt; font-family:"Brush Script MT"; color:#17365D">--Barb
</span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:black">--------------------------------------------------------------</span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:black">We are committed to service excellence.</span></b></p>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:black">Visit our survey at
<a href="http://dnr.wi.gov/customersurvey" target="_blank"><span style="color:blue">http://dnr.wi.gov/customersurvey</span></a> to evaluate how I did.</span></p>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:black"> </span></p>
<p class="MsoNormal"><span style="font-size:12.0pt; font-family:"Arial","sans-serif"; color:#984806">Barb Bickford</span><span style="font-size:8.0pt; font-family:"Arial","sans-serif"; color:navy"><br>
</span><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:black">Medical Waste Coordinator and Hydrogeologist</span></p>
<p class="MsoNormal"><span style="font-size:10.0pt; font-family:"Arial","sans-serif"; color:black">Waste and Materials Mgt/Environmental Management Division<br>
Wisconsin Department of Natural Resources<br>
101 S. Webster St., PO Box 7921, Madison, WI 53707-7921<br>
Phone: 608-267-3548<br>
Fax: 608-267-2768<br>
barbara.bickford@wisconsin.gov<br>
<br>
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