<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:Wingdings;
panose-1:5 0 0 0 0 0 0 0 0 0;}
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:"Futura Std Book";}
@font-face
{font-family:"Century Gothic";
panose-1:2 11 5 2 2 2 2 2 2 4;}
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
@font-face
{font-family:Candara;
panose-1:2 14 5 2 3 3 3 2 2 4;}
@font-face
{font-family:"Lucida Calligraphy";
panose-1:3 1 1 1 1 1 1 1 1 1;}
@font-face
{font-family:"Copperplate Gothic Light";
panose-1:2 14 5 7 2 2 6 2 4 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman",serif;
color:black;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:purple;
text-decoration:underline;}
p
{mso-style-priority:99;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman",serif;
color:black;}
p.MsoAcetate, li.MsoAcetate, div.MsoAcetate
{mso-style-priority:99;
mso-style-link:"Balloon Text Char";
margin:0in;
margin-bottom:.0001pt;
font-size:8.0pt;
font-family:"Tahoma",sans-serif;
color:black;}
p.msonormal0, li.msonormal0, div.msonormal0
{mso-style-name:msonormal;
mso-style-priority:99;
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman",serif;
color:black;}
span.BalloonTextChar
{mso-style-name:"Balloon Text Char";
mso-style-priority:99;
mso-style-link:"Balloon Text";
font-family:"Tahoma",sans-serif;
color:black;}
span.EmailStyle21
{mso-style-type:personal;
font-family:"Calibri",sans-serif;
color:windowtext;}
span.EmailStyle22
{mso-style-type:personal;
font-family:"Calibri",sans-serif;
color:#1F497D;}
span.EmailStyle23
{mso-style-type:personal;
font-family:"Calibri",sans-serif;
color:#1F497D;}
span.EmailStyle24
{mso-style-type:personal-reply;
font-family:"Calibri",sans-serif;
color:windowtext;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:10.0pt;}
@page WordSection1
{size:8.5in 11.0in;
margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
{page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body bgcolor="white" lang="EN-US" link="blue" vlink="purple">
<div class="WordSection1">
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">In case anybody wanted to read Stericycle’s application they submitted for the special permit.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="border-collapse:collapse">
<tbody>
<tr style="height:36.35pt">
<td width="382" valign="top" style="width:286.85pt;border:none;border-bottom:solid windowtext 1.5pt;padding:0in 5.4pt 0in 5.4pt;height:36.35pt">
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#1F497D">Eileen Leung<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#1F497D">Safe Medicine Disposal Project Coordinator</span></b><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#1F497D">San Francisco Department of the Environment<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Century Gothic",sans-serif;color:#1F497D"><a href="mailto:Your.Name@sfgov.org"><span style="font-family:"Futura Std Book",sans-serif">eileen.leung@sfgov.org</span></a></span><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#333333;background:white"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#1F497D">T: (415) 355-3705<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
</td>
<td width="103" style="width:77.25pt;border:none;border-bottom:solid windowtext 1.5pt;padding:0in 0in 0in 0in;height:36.35pt">
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Calibri",sans-serif;color:windowtext"> </span><span style="font-size:10.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p></o:p></span></p>
</td>
</tr>
<tr style="height:28.3pt">
<td width="486" colspan="2" valign="bottom" style="width:364.45pt;padding:0in 5.4pt 0in 5.4pt;height:28.3pt">
<p class="MsoNormal" style="line-height:115%"><span style="font-size:10.0pt;line-height:115%;font-family:"Century Gothic",sans-serif;color:#1F497D"><a href="http://sfenvironment.org/"><span style="font-family:"Futura Std Book",sans-serif">SFEnvironment.org</span></a></span><b><span style="font-size:10.0pt;line-height:115%;font-family:"Futura Std Book",sans-serif;color:#1F497D"> </span></b><span style="font-size:10.0pt;line-height:115%;font-family:"Futura Std Book",sans-serif;color:#1F497D">|
</span><span style="font-size:10.0pt;line-height:115%;font-family:"Century Gothic",sans-serif;color:#1F497D"><a href="http://www.facebook.com/SFEnvironment"><span style="font-family:"Futura Std Book",sans-serif">Facebook</span></a></span><span style="font-size:10.0pt;line-height:115%;font-family:"Futura Std Book",sans-serif;color:#1F497D"> |
</span><span style="font-size:10.0pt;line-height:115%;font-family:"Century Gothic",sans-serif;color:#1F497D"><a href="http://twitter.com/sfenvironment"><span style="font-family:"Futura Std Book",sans-serif">Twitter</span></a></span><b><span style="font-size:10.0pt;line-height:115%;font-family:"Futura Std Book",sans-serif;color:#1F497D"> </span></b><span style="font-size:10.0pt;line-height:115%;font-family:"Futura Std Book",sans-serif;color:#1F497D">|
</span><span style="font-size:10.0pt;line-height:115%;font-family:"Century Gothic",sans-serif;color:#1F497D"><a href="http://sfenvironment.org/get-involved-with-sf-environment"><span style="font-family:"Futura Std Book",sans-serif">Get Involved</span></a></span><u><span style="font-size:10.0pt;line-height:115%;font-family:"Futura Std Book",sans-serif;color:blue"><o:p></o:p></span></u></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#404040"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Futura Std Book",sans-serif;color:#404040">Please consider the environment before printing this email.
<o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"> cpsc-pharmaceuticals-listserv@googlegroups.com [mailto:cpsc-pharmaceuticals-listserv@googlegroups.com]
<b>On Behalf Of </b>Jordan Fengel<br>
<b>Sent:</b> Tuesday, July 12, 2016 1:55 PM<br>
<b>To:</b> cpsc-pharmaceuticals-listserv@googlegroups.com<br>
<b>Cc:</b> Matthew Battles Jr. <mbattles@sharpsinc.com>; 'Suna Bayrakal' <suna@productstewardship.us><br>
<b>Subject:</b> RE: New DOT requirement for authorized collectors<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Good afternoon all,
<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">I just got off the phone after a couple of lengthy conversations with the DOT today regarding this special permit. They were kind of shocked that this is even
being talked about amongst us as they said it is “very clear” as to what this special permit entails…I simply laughed at that point.
</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"><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">Anyhow, per the DOT rep, this special permit was granted to Stericycle in order for them to begin accepting controlled substances within their pharmaceutical
disposal programs. They previously did not collect them in their offered services.
<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">The conflict presents with current programs that utilize a public drop-off kiosk and offer the common carrier shipping method which follows the DEA regulations
that mandate no inspection of contents disposed of within a kiosk in order to prevent controlled substance diversion; however, that direct action of not inspecting materials prior to shipping is a violation of
<i>existing</i> DOT rules. The DOT stated that Stericycle recognized the discrepancy between the DEA and DOT rules and therefore filed for the special permit. They wanted to reiterate this is an existing DOT rule and is not “new.” The fact that Stericycle found
there was a loop-hole and closed it with the special permit is what is new. <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">The DOT stated that within this conflict of the DEA and DOT rules, neither rule supersedes the other.<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">As a shipper of anything, the DOT explained that everyone is responsible for identifying and correctly marking a package for commerce transport, even as a regular
home-owner we ‘declare’ that the items we ship are not dangerous/ hazardous. Within a medication collection kiosk it is possible for P and/or U class medications such as Warfarin (Coumadin) or Epinephrine to be disposed of and therefore the contents are then
deemed hazardous materials. <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">The DOT stated that any shipper of contents such as household deposited medications must apply for and display this permit for rule compliance.<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">The rep said that the application needed is the “party status” one, of which an example of is here:
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"><a href="http://phmsa.dot.gov/staticfiles/PHMSA/DownloadableFiles/Files/Hazmat/pt_app.pdf">http://phmsa.dot.gov/staticfiles/PHMSA/DownloadableFiles/Files/Hazmat/pt_app.pdf</a>
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Here is the checklist to gather the info needed to apply for the permit:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"><a href="http://phmsa.dot.gov/staticfiles/PHMSA/DownloadableFiles/Hazmat/Special%20Permits/PTE%20Checklist.pdf">http://phmsa.dot.gov/staticfiles/PHMSA/DownloadableFiles/Hazmat/Special%20Permits/PTE%20Checklist.pdf</a>
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Their main webpage is here:
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"><a href="http://www.phmsa.dot.gov/hazmat/permits-approvals/special-permits">http://www.phmsa.dot.gov/hazmat/permits-approvals/special-permits</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:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">The DOT contact I spoke with was also named Jordan.
</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"> Their division number is 1-800-467-4922.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">The Special Permits division number is 202-366-4535.<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>
<div>
<p class="MsoNormal"><b><span style="font-family:"Candara",sans-serif;color:#1F497D">Jordan Fengel, B.S.<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#1F497D">Solid Waste/ Recycling Coordinator<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#1F497D">Chair of Texas Product Stewardship Council<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#1F497D">TCEQ MSW Lic# SW0006104<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#1F497D">SWANA Composting Cert #937614<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><i><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#1F497D">USZWBC Associate<o:p></o:p></span></i></b></p>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Environmental Services<o:p></o:p></span></b></p>
<p class="MsoNormal"><i><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">300-1 Industrial Ave<o:p></o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Georgetown, TX 78627<o:p></o:p></span></i></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Office: (512) 930-8131<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Fax: (512) 931-7713<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">For large files:
<a href="https://www.hightail.com/u/jfengel"><span style="color:#0563C1">https://www.hightail.com/u/jfengel</span></a>
<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Copperplate Gothic Light",sans-serif;color:#1F497D"><img border="0" width="154" height="154" style="width:1.6041in;height:1.6041in" id="_x0000_i1025" src="cid:image001.png@01D1DD0C.BA1B9190" alt="MiniEco"></span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"><o:p></o:p></span></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">
<a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">cpsc-pharmaceuticals-listserv@googlegroups.com</a> [<a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">mailto:cpsc-pharmaceuticals-listserv@googlegroups.com</a>]
<b>On Behalf Of </b>Jaramillo, Jeanie<br>
<b>Sent:</b> Monday, July 11, 2016 10:51 PM<br>
<b>To:</b> <a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">cpsc-pharmaceuticals-listserv@googlegroups.com</a><br>
<b>Subject:</b> RE: New DOT requirement for authorized collectors<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D">Thanks, Margaret!<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">I’m wondering how Walgreen’s is handling this (no pun intended!) Since they are implementing bins in 500 stores and each one would have to have someone with Hazmat
training. I’ve been sharing info with our DEA diversion program manager as it relates to participation as “authorized collectors”. I believe this is going to create another barrier. I don’t believe my administrators are going to be happy about it.
<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>
<div>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">Jeanie Jaramillo-Stametz, PharmD
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">Managing Director, Texas Panhandle Poison Center<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">Asst. Professor, Texas Tech UHSC School of Pharmacy<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">Director, Medication Cleanout<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">1300 S. Coulter St., Suite 105<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">Amarillo, TX 79106<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">(voicemail): (806)414-9299<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">(poison center office): (806)414-9402; 9404<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Lucida Calligraphy"">(mobile): (806)376-0039<o:p></o:p></span></p>
</div>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:windowtext">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:windowtext">
<a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">cpsc-pharmaceuticals-listserv@googlegroups.com</a> [<a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">mailto:cpsc-pharmaceuticals-listserv@googlegroups.com</a>]
<b>On Behalf Of </b><a href="mailto:margaret.shield@cehstrategies.com">margaret.shield@cehstrategies.com</a><br>
<b>Sent:</b> Monday, July 11, 2016 3:52 PM<br>
<b>To:</b> <a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">cpsc-pharmaceuticals-listserv@googlegroups.com</a><br>
<b>Subject:</b> RE: New DOT requirement for authorized collectors<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">Hi all, it’s great to have this exchange of info on the pharmwaste listserv and great that PSI has a DOT webinar lined up for later this month on this topic.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">I hope useful to clarify different training requirements to help avoid any more “oh no!” responses than are already being generated by a new DOT requirement.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">The DOT special permit letter references hazmat employee training required under §§ 172.700 through 172.704, which is referencing CFR Title 49 Transportation.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">Here is the language of those sections:
<a href="http://cp.mcafee.com/d/k-Kr6hAq4xASyMUYCesd7bypKVJd5x5NMQsCzBZUSCyMyUeLsQsICQQm4n73hOqenPhOrhLtNUQsIf3zhOr4vS4LUhSeGOffG2FPr9QJTEdCVPr9QJTEdCQvKCMYevW_ffLe9LctuVtdCWf8LI9CzBUQsFYJt6OaaJXFYG7DR8OJMddECQrCXYDuZXTLuZPtPpesRG9pxjzZctqIouuvTEdVpSejYfDz1EVNroPbEzAYESgmScOUndSmFoKIjSaKSZKsHqvgKvaAWv4O04x2N3t842N4xiPCBi8J-QlgcJO1h6Ji9_AoRrmFOVJ5dxdVAS2NF8Qg0PP1Ew3wM2jh17NpKkvl-4Ph0Xm9EwRKpeIp2DE6y2RjP_JeIq6S3hOrlt0ArH9Ra-0h">
https://www.law.cornell.edu/cfr/text/49/part-172/subpart-H</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">Here is link to FAQs from PHMSA on Hazmat Training:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><a href="http://www.phmsa.dot.gov/portal/site/PHMSA/menuitem.6f23687cf7b00b0f22e4c6962d9c8789/?vgnextoid=a6295f29a45b3110VgnVCM1000009ed07898RCRD&vgnextchannel=982d08ae2db83110VgnVCM1000009ed07898RCRD">http://www.phmsa.dot.gov/portal/site/PHMSA/menuitem.6f23687cf7b00b0f22e4c6962d9c8789/?vgnextoid=a6295f29a45b3110VgnVCM1000009ed07898RCRD&vgnextchannel=982d08ae2db83110VgnVCM1000009ed07898RCRD</a><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">Please note the first FAQ states that an employer and employee may train and test themselves.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">The HAZWOPER training is different and is an OSHA requirement. It requires specific formal training in a 40 hour or 24 hour course for employees working at
a hazardous site. <a href="http://cp.mcafee.com/d/5fHCNEp3x8edEIef9zD3hOUCrKrjhohssd79EVvudFEI8K3HTd7b9Jd5x5NMQsCzBYQsCQrTsud7b3MUQsCN7Zxb-4tzGIzPWwGsSOtbtW3pKsSOtbtW3pJ7XFIf3D-LPPXPyrP7nKnjpKzObX2pEVud7avbnhIyyHuWvaxVZicHs3jqpJ6VK_9TLuZXTLsTsS02HgDLbVqHsqvj2uyxyGTNU76XbkInm9X5nruTelJfEnfBitfyp02gxoxKA21oygFpPiF4m_qaE6mV0EzmF4_OcqJHkVsSyCMCYOr1oQAq80pVwQg1Mo19EwzUITafG_2pEwtH4QgqTcDmcxjQ3h1qFV_SDmd3r1EVd-LqcYJu6">
http://www.osha.com/courses/hazwoper.html</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">Seems like we’re generating a great list of items to confirm or ask about on the PSI webinar.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Candara",sans-serif;color:windowtext">Margaret Shield, PhD</span></i><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p></o:p></span></p>
<p class="MsoNormal"><b><i><span style="font-size:10.0pt;font-family:"Candara",sans-serif;color:windowtext">Community Environmental Health Strategies, LLC</span></i></b><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p></o:p></span></b></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Candara",sans-serif;color:windowtext"><a href="mailto:margaret.shield@CEHstrategies.com">margaret.shield@CEHstrategies.com</a></span></i><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p></o:p></span></p>
<p class="MsoNormal"><i><span style="font-size:10.0pt;font-family:"Candara",sans-serif;color:windowtext">mobile: 206-499-5452</span></i><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<p class="MsoNormal"><a name="_MailEndCompose"></a><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">From:</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:windowtext">
<a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">cpsc-pharmaceuticals-listserv@googlegroups.com</a> [<a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">mailto:cpsc-pharmaceuticals-listserv@googlegroups.com</a>]
<b>On Behalf Of </b>John Birrer<br>
<b>Sent:</b> Monday, July 11, 2016 11:00 AM<br>
<b>To:</b> <a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">cpsc-pharmaceuticals-listserv@googlegroups.com</a><br>
<b>Subject:</b> Re: New DOT requirement for authorized collectors<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p>Does Sharps Compliance have this permit?<o:p></o:p></p>
<p>I believe ANYONE in the process of handling hazardous pharmaceuticals, RCRA, controlled substances will need the permit as well as HAZWOPER (as it is called) training.<o:p></o:p></p>
<p>John F. Birrer, President/CEO<o:p></o:p></p>
<p>Asepsis Bio Group, Inc.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div>
<p class="MsoNormal">On 7/11/2016 10:06 AM, Jordan Fengel wrote:<o:p></o:p></p>
</div>
<blockquote style="margin-top:5.0pt;margin-bottom:5.0pt">
<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">I am still deciphering the contents, but overall, it appears that this is targeting the carriers of the boxes. Stericycle applied for this special permit and was granted it under
two different entity names: <a href="http://www.phmsa.dot.gov/hazmat/regs/sp-a/special-permits/search">
http://www.phmsa.dot.gov/hazmat/regs/sp-a/special-permits/search</a> <b>enter: 20255
</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Any companies who ship meds for disposal via UPS or FedEx needs to contact their representative and find out how they are addressing this ruling as this basically is saying their
drivers would need to be trained to handle these boxes/ containers full of ‘hazardous’ medications.
<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">This to me seems like a very effective measure at dampening the competition seen lately with companies utilizing general carriers (UPS, FedEx) for medication disposal programs.
Hospitals and clinics have been switching from Stericycle to economical and effective programs like those from Heritage and Sharps Compliance. However, being that UPS and FedEx already handle hazardous material in commerce, this may not be anything more than
another application process for them.<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">As for places who have employees handling the containers prepping them for shipment, I am leaning on the notion that the stipulations needed to be compliant with this special permit
should already be in place with a new and existing employee training program with regularly scheduled training sessions in place for compliance; this usually comes from the vendor of the medication disposal program when the program is implemented into a facility.
I have reached out to the DOT and Sharps Compliance for further clarification about this rule.
<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b>Jordan Fengel, B.S.</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><i>Solid Waste/ Recycling Coordinator</i></b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><i>Chair of Texas Product Stewardship Council</i></b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><i>TCEQ MSW Lic# SW0006104</i></b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><i>SWANA Composting Cert #937614</i></b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><i>USZWBC Associate</i></b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b>Environmental Services</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><i>300-1 Industrial Ave</i><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><i>Georgetown, TX 78627</i><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Office: (512) 930-8131<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Fax: (512) 931-7713<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">For large files:
<a href="http://cp.mcafee.com/d/k-Kr3xAidEIef9zD3hOUCrKrjhohssd79EVvudFEI8K3HTd7b9Jd5x5NMQsCzBYQsCQrTsud7b3MUQsCN7Zxb-4tzGIzPWwGsSOtbtW3pKsSOtbtW3pJ7XFIf3D-LPPXPyrP7nKnjpKzObX2pEVud7avbnhIyyHuWvaxVZicHs3jr9J6VK_9TLuZXTLsTsSjDdqymokUD8yjDIz-nNL15TU4vfdSmFoKIjSaKSZKsHqvgKvaAWv4O04x2N3t842N4xiPCBi8J-QlgcJO1h6Ji9_AoRrmFOVJ5dxdVAS2NF8Qg0PP1Ew3wM2jh17NpKkvl-4Ph0Xm9EwRKpeIp2DE6y2RjP_JeIq6S3hOrIqek">
https://www.hightail.com/u/jfengel</a> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b><img border="0" width="154" height="154" style="width:1.6041in;height:1.6041in" id="Picture_x0020_1" src="cid:image002.png@01D1DD0C.BA1B9190" alt="MiniEco"></b><o:p></o:p></p>
</div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<div>
<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b>From:</b>
<a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">cpsc-pharmaceuticals-listserv@googlegroups.com</a> [<a href="mailto:cpsc-pharmaceuticals-listserv@googlegroups.com">mailto:cpsc-pharmaceuticals-listserv@googlegroups.com</a>]
<b>On Behalf Of </b>Heidi Sanborn<br>
<b>Sent:</b> Monday, July 11, 2016 11:05 AM<br>
<b>To:</b> Heidi Sanborn <a href="mailto:Heidi@calpsc.org"><Heidi@calpsc.org></a><br>
<b>Subject:</b> FW: New DOT requirement for authorized collectors<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">I’m sharing this from the national pharma listserv because this will impact anyone planning on shipping their meds from bins. Please share any concerns about how this will impact
your programs today or in the future.<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Heidi<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<div>
<div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"><b>From:</b> Pharmwaste [<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> Monday, July 11, 2016 8:54 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] New DOT requirement for authorized collectors<o:p></o:p></p>
</div>
</div>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Hello All,<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">We have a permanent medication disposal receptacle at the pharmacy located on our University campus. I assist with its management (and finding funding for it!) We were recently
notified that we are now required to obtain a DOT permit in order to ship these med-containing boxes. I’m attaching a letter from the DOT for your review and I’m hopeful that some of you are more knowledgeable on this and can help.
<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">While the DOT permit has no related fee, the underlying theme seems to be that the meds are considered “hazardous” and there is a statement that “Each "Hazmat employee", as defined
in § 171.8, who performs a function subject to this special permit must receive training on the requirements and conditions of this special permit in addition to the training required by §§ 172.700 through 172.704”. My guess is the training won’t be free.
<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">From the DOT letter, it appears that this action has resulted from a request by Stericycle. Yet, household generated pharmaceutical waste is exempt from RCRA, so I’m at a loss.
It also seems a conflict of interest that a medical waste vendor has pushed for this. These are the same meds that mail order companies are shipping to patients nationwide.
<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">This is yet another barrier to participation as “authorized collectors”.
<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Any thoughts?
<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Jeanie Jaramillo-Stametz, PharmD
<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Managing Director, Texas Panhandle Poison Center<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Asst. Professor, Texas Tech UHSC School of Pharmacy<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Director, Medication Cleanout<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">1300 S. Coulter St., Suite 105<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">Amarillo, TX 79106<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">(voicemail): (806)414-9299<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">(poison center office): (806)414-9402; 9404<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">(mobile): (806)376-0039<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto"> <o:p></o:p></p>
<p>Click <a href="http://cp.mcafee.com/d/5fHCMUedEIef9zD3hOUCrKrjhohssd79EVvudFEI8K3HTd7b9Jd5x5NMQsCzBYQsCQrTsud7b3MUQsCN7Zxb-4tzGIzPWwGsSOtbtW3pKsSOtbtW3pJ7XFIf3D-LPPXPyrP7nKnjpKzObX2pEVud7avbnhIyyHuWvaxVZicHs3jr1J6VK_9TLuZXTLsTsSjDdqymokUjJm4URfVvahNod3xAblv39oG2gA0Oom0sb1xkO4SXmI0426gIoo2gn82g4JGP4ly0nAIfjhATGs1vln0AUMyl2U2yMy04Oggg0omrtmj0Co3xck2g2wuy03D76XbkInm9X5nruTelJfEnfBitfyp02gxoxKA21oygFpPiF4m_qaE6mV0EzmF4_OcqJHkVsSyCMCYOr1oQAq80pVwQg1Mo19EwzUITafG_2pEwtH4QgqTcDmcxjQ3h1qFV_SDmd3r1EVdTHJ00Sw9v275">
here</a> to report this email as spam.<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto">--
<br>
<br>
--- <br>
You received this message because you are subscribed to the Google Groups "CPSC Pharmaceuticals Stewardship Listserv" group.<br>
To unsubscribe from this group and stop receiving emails from it, send an email to
<a href="mailto:cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com">cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com</a>.<br>
For more options, visit <a href="http://cp.mcafee.com/d/5fHCNAg4zqb3zOoVMQsK9CXCQQm4n73hOqenTzqqb2bwWZPhOOrjhohssd79EVvd79J6ZT7zhOMYed79Ih_oi_x7oWH8Y-EaDdIDiTuwSrDdIDiTuwSrh-Wr3MV_HYY-YUCYNRXBQSrEYy-MCqenzhODORQr8EGTKDOEuvkzaT0QS-rhKrLOtXTLuZXTdTdAVPmEBC4oRrmFN6Ji9_YLy6lmDlKpKORb5RyuNlSTJPBrjW5PVkDjUCg0A8m8rF0wm8AamsQGh5LSyG1BKga8RGhfYz6HqRendEFI9LcCMmd96y06uod40s60iq88-bdOzWLMCq87qNd46JP9Rz8kZ0QgmGuvZFRzgSMqejsT0N6UX5PJSj">
https://groups.google.com/d/optout</a>.<o:p></o:p></p>
</div>
<p class="MsoNormal">-- <br>
<br>
--- <br>
You received this message because you are subscribed to the Google Groups "CPSC Pharmaceuticals Stewardship Listserv" group.<br>
To unsubscribe from this group and stop receiving emails from it, send an email to
<a href="mailto:cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com">cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com</a>.<br>
For more options, visit <a href="http://cp.mcafee.com/d/5fHCNAe4zqb3zOoVMQsK9CXCQQm4n73hOqenTzqqb2bwWZPhOOrjhohssd79EVvd79J6ZT7zhOMYed79Ih_oi_x7oWH8Y-EaDdIDiTuwSrDdIDiTuwSrh-Wr3MV_HYY-YUCYNRXBQSrEYy-MCqenzhODORQr8EGTKDOEuvkzaT0QSUrhKrLOtXTLuZXTdTdAVPmEBC4oRrmFN6Ji9_YLy6lmDlKpKORb5RyuNlSTJPBrjW5PVkDjUCg0A8m8rF0wm8AamsQGh5LSyG1BKga8RGhfYz6HqRendEFI9LcCMmd96y06uod40s60iq88-bdOzWLMCq87qNd46JP9Rz8kZ0QgmGuvZFRzgSMqejvJLnmDIla1AD">
https://groups.google.com/d/optout</a>.<o:p></o:p></p>
</blockquote>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="color:windowtext">-- <br>
<br>
--- <br>
You received this message because you are subscribed to the Google Groups "CPSC Pharmaceuticals Stewardship Listserv" group.<br>
To unsubscribe from this group and stop receiving emails from it, send an email to
<a href="mailto:cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com">cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com</a>.<br>
For more options, visit <a href="http://cp.mcafee.com/d/avndzgArhosuj7e6zBNcTsSCyMyUUqejhO-Yrjhohs7nKqemjqqb2bzxEVd7bVEVdETKUYqem7xNEVdyfX2nY8X7lp7DR1kVJAWmXQ6PsVJAWmXQ6PqfTjou7fZvDDTD4TCeLsKCPt7AnS4PhOYqek-mKzp55mZQ-l3PWApmU6CNNJ6VK_9TLuZXTLsTsSjDdqymohzlJqD4qR8D_O-8plqtmVCXbkInm9X5nruTelJfEnfBitfyp02gxoxKA21oygFpPiF4m_qaE6mV0EzmF4_OcqJHkVsSyCMCYOr1oQAq80pVwQg1Mo19EwzUITafG_2pEwtH4QgqTcDmcxjQ3h1qFV_SDmd3r1EVdWcHsFM3FLmf">
https://groups.google.com/d/optout</a>.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:windowtext">-- <br>
<br>
--- <br>
You received this message because you are subscribed to the Google Groups "CPSC Pharmaceuticals Stewardship Listserv" group.<br>
To unsubscribe from this group and stop receiving emails from it, send an email to
<a href="mailto:cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com">cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com</a>.<br>
For more options, visit <a href="http://cp.mcafee.com/d/FZsSd38Arhosuj7e6zBNcTsSCyMyUUqejhO-Yrjhohs7nKqemjqqb2bzxEVd7bVEVdETKUYqem7xNEVdyfX2nY8X7lp7DR1kVJAWmXQ6PsVJAWmXQ6PqfTjou7fZvDDTD4TCeLsKCPt7AnS4PhOYqek-mKzp55mZQ-l3PWApmU6CTzqdPt-jLuZXTLuVKVIDeqR4IMz6HqRe8RGhf_BYgOGQWJPdSmFoKIjSaKSZKsHqvgKvaAWv4O04x2N3t842N4xiPCBi8J-QlgcJO1h6Ji9_AoRrmFOVJ5dxdVAS2NF8Qg0PP1Ew3wM2jh17NpKkvl-4Ph0Xm9EwRKpeIp2DE6y2RjP_JeIq6S3hOrT2rlyRI0">
https://groups.google.com/d/optout</a>.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:windowtext">-- <br>
<br>
--- <br>
You received this message because you are subscribed to the Google Groups "CPSC Pharmaceuticals Stewardship Listserv" group.<br>
To unsubscribe from this group and stop receiving emails from it, send an email to
<a href="mailto:cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com">cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com</a>.<br>
For more options, visit <a href="https://groups.google.com/d/optout">https://groups.google.com/d/optout</a>.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:windowtext">-- <br>
<br>
--- <br>
You received this message because you are subscribed to the Google Groups "CPSC Pharmaceuticals Stewardship Listserv" group.<br>
To unsubscribe from this group and stop receiving emails from it, send an email to
<a href="mailto:cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com">cpsc-pharmaceuticals-listserv+unsubscribe@googlegroups.com</a>.<br>
For more options, visit <a href="https://groups.google.com/d/optout">https://groups.google.com/d/optout</a>.<o:p></o:p></span></p>
</div>
</body>
</html>