<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:st1="urn:schemas-microsoft-com:office:smarttags" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv=Content-Type content="text/html; charset=us-ascii">
<meta name=Generator content="Microsoft Word 11 (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]--><o:SmartTagType
namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="PostalCode"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="Street"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="City"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="address"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="place"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="State"/>
<!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
/* Font Definitions */
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman";}
a:link, span.MsoHyperlink
{color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{color:purple;
text-decoration:underline;}
p.MsoAutoSig, li.MsoAutoSig, div.MsoAutoSig
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman";}
p
{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";}
span.emailstyle18
{font-family:Arial;
color:windowtext;}
span.emailstyle19
{font-family:Arial;
color:navy;}
span.emailstyle20
{font-family:Arial;
color:blue;
font-weight:normal;
font-style:normal;
text-decoration:none none;}
span.EmailStyle22
{mso-style-type:personal-reply;
font-family:Arial;
color:navy;}
@page Section1
{size:8.5in 11.0in;
margin:1.0in 1.25in 1.0in 1.25in;}
div.Section1
{page:Section1;}
/* List Definitions */
@list l0
{mso-list-id:244002124;
mso-list-template-ids:-1704159174;}
@list l0:level1
{mso-level-start-at:5;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;}
@list l1
{mso-list-id:643776502;
mso-list-template-ids:-1704159174;}
@list l1:level1
{mso-level-start-at:4;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;}
@list l2
{mso-list-id:861824511;
mso-list-template-ids:-1704159174;}
@list l2:level1
{mso-level-start-at:2;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;}
@list l3
{mso-list-id:915438060;
mso-list-template-ids:-1704159174;}
@list l3:level1
{mso-level-start-at:6;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;}
@list l4
{mso-list-id:1314291631;
mso-list-template-ids:-1704159174;}
ol
{margin-bottom:0in;}
ul
{margin-bottom:0in;}
-->
</style>
</head>
<body lang=EN-US link=blue vlink=purple>
<div class=Section1>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'>Farouk: Thanks for asking some important
questions about this issue. Some food for thought:</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'> </span></font><o:p></o:p></p>
<ol style='margin-top:0in' start=1 type=1>
<li class=MsoNormal style='mso-list:l4 level1 lfo1'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>The idea is to prevent these
medicines from getting into our wastewater treatment plants, right? </span></font><o:p></o:p></li>
</ol>
<p class=MsoNormal style='margin-left:.25in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>I don’t think at this point we
can prevent medications from getting into our wastewater treatment plants
because unabsorbed medications and their metabolites are excreted from humans
no matter how we dispose with the unused medications. However, we can reduce or
delay the quantity that goes there by reducing the amounts that are flushed in
favor of disposal with the garbage. </span></font><o:p></o:p></p>
<ol style='margin-top:0in' start=2 type=1>
<li class=MsoNormal style='mso-list:l2 level1 lfo2'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>So, let us send them to
landfills with the garbage, right?</span></font><o:p></o:p></li>
<li class=MsoNormal style='mso-list:l2 level1 lfo2'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>After landfilling them, they
will come out with the leachate, right or wrong?</span></font><o:p></o:p></li>
</ol>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'> Not necessarily.
Recall that some of our garbage is bound for waste to energy where the fate of
organics (many pharms are organics) is quite different than in a landfill.
Landfill fate: As I understand it, we do not monitor leachate for
pharmaceuticals or their metabolites at this time. If that is the case, we do
not know what fraction of pharmaceuticals report to leachate v. are transformed
v. are sequestered in a landfill environment. There is research going on right
now at U of F on fate of ~10 pharmaceuticals in simulated landfill environment
(results about 10 months out). </span></font><o:p></o:p></p>
<ol style='margin-top:0in' start=4 type=1>
<li class=MsoNormal style='mso-list:l1 level1 lfo3'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>The leachate goes to the
wastewater treatment plants, right? </span></font><o:p></o:p></li>
</ol>
<p class=MsoNormal style='margin-left:.25in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Yes it does. If we do determine that
we need to remove pharmaceuticals from wastewater to certain maximum
concentrations, it would seem to me to be much easier and more cost effective
to pretreat ~100 leachate sources (landfills) rather than every drop of
wastewater from every toilet, urinal and sink drain in the state. Perhaps
selected pretreatment would even reduce wastewater pharmaceutical loadings such
that treatment of all wastewater would be unnecessary or at least cheaper. </span></font><o:p></o:p></p>
<ol style='margin-top:0in' start=5 type=1>
<li class=MsoNormal style='mso-list:l0 level1 lfo4'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Finally, we are back to square
one, right? </span></font><o:p></o:p></li>
</ol>
<p class=MsoNormal style='margin-left:.25in'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Not at all: we are taking a basic,
reasoned and practical proactive step to reduce or delay the environmental
burden. That step is based upon incomplete science that suggests that we have a
problem but is not conclusive about that. The answer to “What is
the solution?” is even more inconclusive than the answer to “What
is the problem? How serious is that problem?” We need to carefully
consider whether expensive regulations, e.g., new and tougher wastewater
treatment standards and processes, are warranted given suggestive but
inconclusive knowledge about the problem we are trying to solve. </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'> </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'>As always, I welcome your thoughts and am
open to discussing at any time. Please copy David and Victor as I do not have
their email addresses. Thanks again for your feedback. </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'> </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'>Best, Jack.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=3 color=blue face=Arial><span style='font-size:
12.0pt;font-family:Arial;color:blue'> </span></font><o:p></o:p></p>
<div>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>John L. (Jack) Price</span></font><o:p></o:p></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Environmental Manager</span></font><o:p></o:p></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Hazardous Waste Management MS 4555</span></font><o:p></o:p></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Florida Department of Environmental
Protection</span></font><o:p></o:p></p>
<p class=MsoAutoSig><st1:Street w:st="on"><st1:address w:st="on"><font size=3
color=blue face="Times New Roman"><span style='font-size:12.0pt;color:blue'>2600
Blair Stone Road</span></font></st1:address></st1:Street><o:p></o:p></p>
<p class=MsoAutoSig><st1:place w:st="on"><st1:City w:st="on"><font size=3
color=blue face="Times New Roman"><span style='font-size:12.0pt;color:blue'>Tallahassee</span></font></st1:City><font
color=blue><span style='color:blue'>, <st1:State w:st="on">FL</st1:State>
<st1:PostalCode w:st="on">32399-2400</st1:PostalCode></span></font></st1:place><o:p></o:p></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Phone:850.245.8751</span></font><o:p></o:p></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>Fax: 850.245.8811</span></font><o:p></o:p></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>john.l.price@dep.state.fl.us</span></font><o:p></o:p></p>
<p class=MsoAutoSig><font size=3 color=blue face="Times New Roman"><span
style='font-size:12.0pt;color:blue'>www.dep.state.fl.us/waste</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=1 color=black face=Arial><span style='font-size:
7.5pt;font-family:Arial;color:black'>Please Note: <st1:State w:st="on"><st1:place
w:st="on">Florida</st1:place></st1:State> has a very broad public records
law. Most written communications to or from state officials regarding
state business are public records available to the public and media upon
request. Your e-mail is communications and may therefore be subject to
public disclosure.</span></font><o:p></o:p></p>
</div>
<div>
<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>
<hr size=2 width="100%" align=center tabindex=-1>
</span></font></div>
</div>
<div>
<p class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> Farouk M.
El-Shamy [mailto:felshamy@pascocountyfl.net] <br>
<b><span style='font-weight:bold'>Sent:</span></b> Friday, November 17, 2006
10:16 AM<br>
<b><span style='font-weight:bold'>To:</span></b> Perrigan, Glen<br>
<b><span style='font-weight:bold'>Cc:</span></b> David James; Victor Norka<br>
<b><span style='font-weight:bold'>Subject:</span></b> </span></font><o:p></o:p></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Glen: I received a copy of your flyer on proper disposal of
unneeded medicine. I just have a thought to share with you.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'> </span></font><o:p></o:p></p>
<ol style='margin-top:0in' start=6 type=1>
<li class=MsoNormal style='mso-list:l3 level1 lfo5'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>The idea is to prevent these
medicines from getting into our wastewater treatment plants, right?</span></font><o:p></o:p></li>
<li class=MsoNormal style='mso-list:l3 level1 lfo5'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>So, let us send them to
landfills with the garbage, right?</span></font><o:p></o:p></li>
<li class=MsoNormal style='mso-list:l3 level1 lfo5'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>After landfilling them, they
will come out with the leachate, right or wrong?</span></font><o:p></o:p></li>
<li class=MsoNormal style='mso-list:l3 level1 lfo5'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>The leachate goes to the
wastewater treatment plants, right?</span></font><o:p></o:p></li>
<li class=MsoNormal style='mso-list:l3 level1 lfo5'><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'>Finally, we are back to square
one, right?</span></font><o:p></o:p></li>
</ol>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'> </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>How about that for a Friday morning?</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'> </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Sincerely,</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'> </span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Farouk</span></font><o:p></o:p></p>
</div>
</body>
</html>