VENTURA COUNTY MEDICAL WASTE MANAGEMENT: A GUIDE … · As a medical waste generator, compliance with the MWMA shall be maintained by management of the medical waste stream in accordance

VENTURA COUNTY

MEDICAL WASTE

MANAGEMENT:

A GUIDE TO

COMPLIANCE FOR

MEDICAL WASTE

GENERATORS

Ventura County Resource

Management Agency

Environmental Health Division

May 2018 S:\Medical Waste\Handouts\MW%20handbook.docx Page 1

VENTURA COUNTY

MEDICAL WASTE MANAGEMENT:

A GUIDE TO COMPLIANCE FOR

MEDICAL WASTE GENERATORS

Revised May 2018

COUNTY OF VENTURA

RESOURCE MANAGEMENT AGENCY

ENVIRONMENTAL HEALTH DIVISION

800 South Victoria Avenue

Ventura, CA. 93009-1730

805/654-2813

Website: https://vcrma.org/medical-waste-program

Bill Stratton, Director

Prepared by:

Glenn Austin, M.P.H., R.E.H.S.

https://vcrma.org/medical-waste-program

http://www.ventura.org/envhealth


TABLE OF CONTENTS

Page Number

Introduction............................................................................................................ 5

Section I. Determination of the Medical Waste Generator .............................. 6

Section II. Identifying Medical Waste ............................................................... 8

Section III. Containment and Storage of Medical Waste................................. 13

Section IV. Transportation of Medical Waste................................................... 21

Section V. Medical Waste Treatment and Disposal........................................ 24

Section VI. Registration/Permit Requirements ................................................ 27

Section VII. Home-Generated Sharps & Pharmaceutical Waste........................ 31

Section VIII. Forms/Lists/Leaflets/Links.............................................................. 33

1. Transportation of Limited Quantities of Medical Waste ..…35

Under a Department of Transportation (D.O.T.)

Materials of Trade Exemption


2. Department of Transportation (D.O.T.) Materials of ………36

Trade Exemption Sample Shipping Tracking Document


3. Department of Transportation (D.O.T.) Materials of……….38

Trade Exemption Directions for Preparing Medical

Waste Shipping Tracking Documents






4. Medical Waste Generator Registration/Permit …………….44

Application


5. Medical Waste Management- Information Document …….46


6. Medical Waste Management Plan …………………………..47


7. Medical Waste Treatment Facility Operating Record ……..52


8. Operations Record for Medical Waste Treatment………….53

By Steam Sterilization (Autoclave)


9. In Office Sharps Treatment Log Isolyser or ……………..…54

Earth-Shield


10. United States Postal Service (USPS) mailability ………..…55

standards for medical waste

https://pe.usps.com/Archive/HTML/DMMArchive20100607/60

1.htm


11. Home Generated Sharps Waste Disposal ...……………….61

Locations- "Don't Get Stuck with Used Sharps"

- free needle disposal for Ventura County residents

(in English and Spanish)


12. Pharmaceutical Drop Off Locations for Ventura ….……….63

County Residents Only- Hosted by Ventura County

Sheriff’s Department & City Law Enforcement


13. List of CDPH Approved Medical Waste Transporters ……64

(NOTE: This list may not be the most current.

Please visit the CDPH website for the most

current list of Medical Waste Transporters)

https://www.cdph.ca.gov/Programs/CEH/DRSEM/Pages/EM

B/MedicalWaste/Transporters.aspx







https://pe.usps.com/Archive/HTML/DMMArchive20100607/601.htm





https://www.cdph.ca.gov/Programs/CEH/DRSEM/Pages/EMB/MedicalWaste/Transporters.aspx

https://www.cdph.ca.gov/Programs/CEH/DRSEM/Pages/EMB/MedicalWaste/Transporters.aspx


14. List of CDPH Approved Alternative Medical Waste………..76

Treatment Technologies (NOTE: This list may not

be the most current. Please visit the CDPH website

for the most current list of Approved Medical Waste

Alternative Treatment Technologies)

https://www.cdph.ca.gov/Programs/CEH/DRSEM/Pages/EM

B/MedicalWaste/Alternative-Technology.aspx

https://www.cdph.ca.gov/Programs/CEH/DRSEM/Pages/EMB/MedicalWaste/Alternative-Technology.aspx



INTRODUCTION

The Medical Waste Management Act (MWMA) was passed by the California

legislature and incorporated into the California Health and Safety Code, effective

January 1, 1991. This Act significantly increased the scope of medical waste

regulation statewide and established standards for uniformity in the

implementation and administration of medical waste programs.

The Ventura County Board of Supervisors approved a local Medical Waste

Program which provided for the implementation of California's MWMA. Adopted

by the Board on July 23, 1991, the program is administered by the Environmental

Health Division (EHD) of the Resource Management Agency under the Ventura

County Ordinance Code. There are over 1600 facilities within the registration

program, and inspections are conducted in accordance with MWMA

requirements.

In an effort to assist those affected by this legislation, the Ventura County EHD

has prepared this handbook which summarizes the MWMA, explains registration

requirements, and provides sample forms and other information to aid generators

in identifying their medical waste stream and maintaining compliance.

The regulations summarized in this handbook are taken from the MWMA,

California Health and Safety Code, Part 14, commencing with Section 117600, as

amended by AB1442, AB333, AB 961, AB 3427, SB 1151, SB 372, SB 1966, SB

1034, SB 407, and SB 419.


SECTION I.

DETERMINATION OF THE MEDICAL WASTE GENERATOR

In order to determine if registration requirements for medical waste generators

apply to the practitioner, it is first necessary to determine if the practitioner meets

the definition of a medical waste generator.

The MWMA defines a medical waste generator as any person, whose act or

process produces medical waste and includes, but is not limited to, a provider of

health care as defined in subdivision (d) of Section 56.05 of the Civil Code. All of

the following are examples of businesses which may generate medical waste:

1. Medical and dental offices, clinics, hospitals, surgery centers, laboratories,

research laboratories, other health facilities required to be licensed

pursuant to Division 2 (commencing with Section 1200), chronic dialysis

clinics, as regulated pursuant to Division 2 (commencing with Section

1200), and education and research facilities, and unlicensed facilities.

2. Veterinary offices, veterinary clinics, veterinary hospitals, and pet shops.

3. Trauma scene waste management practitioners.

Secondly, it is necessary to determine if the practitioner generates any of the

medical wastes, however minimal, as defined in Section II. Identifying the types

of medical waste generated will assist the generator in meeting the requirements

for containment, storage, and treatment of those wastes.

Finally, it is necessary to ascertain the quantity of medical waste generated to

determine if the generator is a large or small quantity generator. A large quantity

generator generates 200 or more pounds of medical waste in any month of a

12month period. A small quantity generator generates less than 200 pounds per

month of medical waste. Most medical, dental and veterinary offices, home

health care agencies, acupuncturists, and nursing homes are small quantity

generators, and most of these facilities generate sharps waste only.

All medical waste generators, except trauma scene waste management

practitioners, are required to register with EHD. Registration requirements for

large and small quantity medical waste generators are provided in Section VI.

Trauma scene waste management practitioners are registered with and regulated

by the California Department of Public Health.


As a medical waste generator, compliance with the MWMA shall be maintained

by management of the medical waste stream in accordance with the

requirements of Sections III through VI.

Any questions concerning medical waste management should be directed to the

EHD Medical Waste Specialist, Glenn Austin at (805) 477-7110 or

[email protected] .

mailto:[email protected]


SECTION II.

IDENTIFYING MEDICAL WASTE

“Medical waste” means any biohazardous, pathology, pharmaceutical, or trace

chemotherapy waste not regulated by the Federal Resource Conservation and

Recovery Act (RCRA) of 1976 (Public Law 94-580) as amended; Sharps and

Trace Chemotherapy Waste generated in a health care setting in the diagnosis,

treatment, immunization, or care of humans or animals; waste generated in

autopsy or necropsy; waste generated during preparation of a body for final

disposition such as cremation or internment; waste generated in research using

human or animal pathogens; sharps and laboratory waste that poses a potential

risk of infection to humans generated in the inoculation of animals in commercial

farming operations; waste generated from the consolidation of home-generated

sharps; and waste generated in the cleanup of trauma scenes. Biohazardous,

pathology, pharmaceutical, sharps, and trace chemotherapy wastes as defined in

the Medical Waste Management Act are not subject to any of the hazardous

waste requirements found in Chapter 6.5 (commencing with section 25100) of

Division 20.

Medical waste can be identified as BIOHAZARDOUS WASTE, PATHOLOGY

WASTE, PHARMACEUTICAL WASTE, SHARPS WASTE, TRACE

CHEMOTHERAPY WASTE, or TRAUMA SCENE WASTE. It may contain

infectious agents which are a type of microorganism, bacteria, mold, parasite, or

virus which normally causes, or significantly contributes to the cause of,

increased morbidity or mortality to human beings.

1. BIOHAZARDOUS WASTE means any of the following:

(A) (i) Regulated medical waste, clinical waste, or biomedical waste

that is a waste or reusable material derived from the medical

treatment of a human or from an animal that is suspected by

the attending veterinarian of being infected with a pathogen

that is also infectious to humans, which includes diagnosis

and immunization; or from biomedical research, which

includes the production and testing of biological products.

(ii) Regulated medical waste or clinical waste or biomedical

waste suspected of containing a highly communicable

disease.


(B) Laboratory waste such as human specimen cultures or animal

specimen cultures that are infected with pathogens that are also

infectious to humans; cultures and stocks of infectious agents from

research; wastes from the production of bacteria, viruses, spores,

discarded live and attenuated vaccines used in human health care

or research, discarded animal vaccines, including Brucellosis and

Contagious Ecthyma, as defined by the department; culture dishes,

devices used to transfer, inoculate, and mix cultures; and wastes

identified by Section 173.134 of Title 49 of the Code of Federal

Regulations as Category B “once wasted” for laboratory wastes.

(C) Waste that, at the point of transport from the generator’s site or

at the point of disposal contains recognizable fluid human blood,

fluid human blood products, containers, or equipment containing

human blood that is fluid, or blood from animals suspected by the

attending veterinarian of being contaminated with infectious agents

known to be contagious to humans.

(D) Waste containing discarded materials contaminated with

excretion, exudate, or secretions from humans or animals that are

required to be isolated by the infection control staff, the attending

physician and surgeon, the attending veterinarian, or the local

health officer, to protect others from highly communicable diseases

or diseases of animals that are communicable to humans.

2. PATHOLOGY WASTE includes both of the following:

(A) Human body parts, with the exception of teeth, removed at

surgery and surgery specimens or tissues removed at surgery or

autopsy that are suspected by the health care professional of being

contaminated with infectious agents known to be contagious to

humans or having been fixed in formaldehyde or another fixative.

(B) Animal parts, tissues, fluids, or carcasses suspected by the

attending veterinarian of being contaminated with infectious agents

known to be contagious to humans.

3. PHARMACEUTICAL WASTE means a pharmaceutical, as defined in

Section 117747, including trace chemotherapy waste, that is a waste, as

defined in Section 25124. For purposes of this part, “pharmaceutical

waste” does not include a pharmaceutical that meets either of the following

criteria:

(A) The pharmaceutical is being sent out of the state to a reverse

distributor, as defined in Section 4040.5 of the Business and


Professions Code, that is licensed as a wholesaler of dangerous

drugs by the California State Board of Pharmacy pursuant to

Section 4161 of the Business and Professions Code.

(B) The pharmaceutical is being sent by a reverse distributor, as

defined in Section 4040.5 of the Business and Professions Code,

offsite for treatment and disposal in accordance with applicable

laws, or to a reverse distributor that is licensed as a wholesaler of

dangerous drugs by the California State Board of Pharmacy

pursuant to Section 4160 of the Business and Professions Code

and as a permitted transfer station if the reverse distributor is

located within the state.

4. SHARPS WASTE means a device that has acute rigid corners, edges, or

protuberances capable of cutting or piercing, including, but not limited to,

hypodermic needles, hypodermic needles with syringes, blades, needles

with attached tubing, acupuncture needles, root canal files, broken glass

items used in health care such as Pasteur pipettes and blood vials

contaminated with biohazardous waste, and any item capable of cutting or

piercing from trauma scene waste.

“Home-generated sharps waste” that is properly contained and

brought by a patient, patient family member, or person authorized by the

local enforcement agency to a point of consolidation approved by the

enforcement agency. Once received at the home-generated consolidation

point, home-generated sharps waste shall be transported and treated as

medical waste.

This definition applies to home infusion suppliers, pharmacies, and

medical facilities that collect home-generated sharps as a service to their

patients. The home-generated sharps consolidation point is not

considered a generator and is exempt from registration requirements and

registration fees.

5. TRACE CHEMOTHERAPEUTIC WASTE means waste that is

contaminated through contact with, or having previously contained,

chemotherapeutic agents, including, but not limited to, gloves, disposable

gowns, towels, and intravenous solution bags and attached tubing that are

empty. A biohazardous waste that meets the conditions of this paragraph

is not subject to the hazardous waste requirements of Chapter 6.5

(commencing with Section 25100) of Division 20.

6. TRAUMA SCENE WASTE means waste that is a regulated waste, as

defined in Section 5193 of Title 8 of the California Code of Regulations,

and that has been removed, is to be removed, or is in the process of being


removed, from a trauma scene by a trauma scene waste management

practitioner.

1Direct contact zoonotic diseases are infectious diseases that are directly communicable between animals and man and do

not require an intermediate host or growth phase outside the host. These diseases include anthrax, brucellosis*,

leptospirosis, plague, rabies, Q Fever, salmonellosis**, tularemia, tuberculosis*, and exotic diseases such as Ebola virus,

etc. * Livestock (live animals) diagnosed with brucellosis or tuberculosis should be disposed of in accordance with USDA and

State Agriculture policy. ** Animals placed in isolation for infection control, or livestock placed under a Department of Food and Agriculture Hold

Order.

2Highly communicable diseases are those caused by organisms classified by the Federal Centers for Disease Control as

Biosafety Level IV organisms, which, in the opinion of the infection control staff, the department, local health officer, attending

physician and surgeon, or attending veterinarian, merit special precautions to protect staff, patients, and other persons from

infection. Biosafety Level IV viruses and diseases include: Congo-Crimean hemorrhagic fever, tick-borne encephalitis virus

complex (Absettarov, Hansalova, Hypr, Kumlinge, Kyasanur Forest disease, Omsk hemorrhagic fever, and Russian spring-

summer encephalitis), Marburg disease, Ebola, Junin virus, Lassa fever virus, Machupo virus, and Hanta virus (U.S.).

The MWMA excludes certain materials from the definition of medical waste as

listed below. Other materials not considered to be medical waste are also

included in the list.

Medical waste does NOT include the following:

1. Waste generated in food processing or biotechnology that does not contain an infectious agent as defined in Section 117675, or an agent capable of causing an infection that is highly communicable, as defined in Section 117665.

2. Waste generated in biotechnology that does not contain human blood or

blood products or animal blood or blood products suspected of being contaminated with infectious agents known to be communicable to humans or a highly communicable disease.

3. Urine, feces, saliva, sputum, nasal secretions, sweat, tears, or vomitus, unless

it contains fluid blood, as provided in subparagraph (c) of paragraph (1) of subdivision (b) of Section 117690.

4. Waste which is not biohazardous, such as paper towels, paper products,

articles containing nonfluid blood, and other medical solid waste products commonly found in the facilities of medical waste generators.

5. Hazardous waste, radioactive waste, or household waste, including, but not

limited to, home-generated sharps waste, as defined in Section 117671.

6. Pharmaceutical waste regulated under the Federal Resource Conservation

and Recovery Act of 1976 as amended (42 U.S.C.A., Sec 6901 et seq.) or the

Radiation Control Law (Chapter 8 commencing with Section 114960, Part 9).


Pharmaceutical waste being returned to suppliers or manufacturers,

donated to charitable causes, or sent to companies who provide

return/destroy services.

7. Waste generated from normal and legal veterinarian, agricultural, and animal

livestock management practices on a farm or ranch unless otherwise

specified in law.

8. Placentas used in the production of cosmetics or other products or which are

sent to rendering plants. Only placentas which are non-infectious should be

made available for such uses.

Placentas may be released to the patient for religious, ethnic, or cultural

reasons if the physician/surgeon does not suspect the presence of

infectious organisms. It is recommended they be placed in a sealed

container, such as a zipper plastic freezer bag, to minimize possibility of

leakage.

9. Teeth not deemed infectious by the attending physician, surgeon, or dentist.

10. Empty medication and vaccine vials.

The following items are not considered to be sharps waste:

1. Syringes without a needle attached and NOT contaminated with

biohazardous waste.

2. Self-contained automatically retractable lancets. However, if the lancet is

contaminated with biohazardous materials, it is biohazardous and shall be

handled and treated accordingly.

3. Slides with beveled edges and rounded corners. However, if the slide is

contaminated with biohazardous materials, it is biohazardous and shall be

handled and treated accordingly.

4. Ear and body piercing and tattoo devices or instruments.

5. Needles and syringes from a household when generated by the

householder and not a health care professional.

6. Broken glass NOT contaminated with biohazardous materials.


SECTION III.

CONTAINMENT AND STORAGE OF MEDICAL WASTE

Medical waste shall be contained and stored separate from other waste at the

point of origin in the generator's facility.

Medical waste comprised of human surgery specimens, tissues fixed in

formaldehyde, or other fixatives, or recognizable human anatomical parts

(pathology waste); waste contaminated with trace amounts of chemotherapeutic

agents (chemotherapy waste), including sharps; and waste pharmaceuticals

(pharmaceutical waste) shall be treated by incineration or an approved

alternative technology which has express approval by the California Department

of Public Health (CDPH). Pathology waste may also be disposed of through

internment (bury in the ground). Each of these waste streams must be

segregated from each other and all other waste streams.

Pharmaceutical waste may be commingled with sharps waste as long as the

commingled waste are stored in an approved sharps container labeled with the

words “HIGH HEAT” or “INCINERATION ONLY”. Waste meeting the definition

of pathology and trace chemotherapy waste must be stored separate from all

other waste streams and may not be commingled with any other waste.

Mixtures of medical and hazardous or radioactive wastes are referred to as

“Mixed waste”. Mixed waste must be managed to the highest standard. Medical

waste mixed with hazardous waste must be managed as hazardous waste.

Medical waste mixed with radioactive waste must be managed as radioactive

waste. Medical waste mixed with hazardous and radioactive waste must be

managed as radioactive waste.

Medical waste shall be contained as follows:

1. BIOHAZARDOUS WASTE AND CERTAIN HAZARDOUS WASTES

Biohazardous waste, pathology waste, and trace chemotherapy waste, shall be

contained in a biohazard bag labeled with the words "BIOHAZARDOUS

WASTE" or the international biohazard symbol and the word "BIOHAZARD".

“Biohazard bag” means a disposable film bag that is impervious to moisture. The

film bags that are used for transport shall be marked and certified by the

manufacturer as having passed the tests prescribed for tear resistance in the

American Society for Testing Materials (ASTM) D1922, “Standard Test Method

for Propagation Tear Resistance of Plastic Film and Thin Sheeting by Pendulum

Method” and for impact resistance in ASTM D1709, “Standard Test Methods for


Impact Resistance of Plastic Film by the Free-Falling Dart Method,” as those

documents were published on January 1, 2014. The film bag shall meet an

impact resistance of 165 grams and a tearing resistance of 480 grams in both

parallel and perpendicular planes with respect to the length of the bag. The color

of the bag shall be red, except when yellow bags are used to further segregate

trace chemotherapy waste and white bags are used to further segregate

pathology waste.

FIGURE 1: Example of properly labeled biohazard bags. Bags must be red

(biohazard waste), yellow (trace chemotherapy waste), or white

(pathology waste) in color with contrasting letters.

Biohazard bags shall be tied to prevent leakage or expulsion of contents

during all future storage and handling. The use of "zip" red biohazard

bags is acceptable.

The biohazard bag shall be placed for storage and handling in a rigid

container that is leak resistant, has a tight-fitting cover, is clean and in

good repair. Medical waste containers may be disposable or reusable.

Containers may be recyclable with approval of EHD.

The secondary container shall be labeled on the lid and sides so as to be

visible from all lateral directions.

a. Biohazardous waste shall be labeled with the words

"Biohazardous Waste" or with the international biohazard symbol

and the word "BIOHAZARD".

b. Pathology waste, consisting of human surgery specimens or

tissues fixed in formaldehyde or other fixatives and recognizable


human anatomical remains shall be labeled with the words

"Pathology Waste", "PATH", or other label approved by DHS.

c. Trace Chemotherapy waste, consisting of waste contaminated

with chemotherapeutic agents, shall be labeled with the words

"Chemotherapy Waste", "CHEMO", or other label approved by

DHS.

FIGURE 2: Examples of properly labeled medical waste storage containers.

d. Pharmaceutical waste shall have its container labeled with the

words “HIGH HEAT” or "INCINERATION ONLY" on the lid and

sides so as to be visible from all lateral directions.

Biohazardous waste shall not be removed from the biohazard bag or

disposed of until treatment is completed, except to eliminate a safety

hazard.

2. SHARPS WASTE

All sharps waste shall be placed in a rigid puncture-resistant container

which, when sealed, is leak resistant and cannot be reopened without

great difficulty. Clipping of needles is not recommended.

Sharps containers, except those containing sharps contaminated with

chemotherapy waste, shall be labeled "SHARPS WASTE" or with the

international biohazard symbol and the word "BIOHAZARD".

Sharps containers containing sharps contaminated with chemotherapy

waste, shall be labeled "CHEMOTHERAPY WASTE", "CHEMO", or other

label approved by DHS.


FIGURE 3: Examples of approved and properly labeled sharps containers.

In facilities using a wall-mounted lockbox to contain the sharps container, the

lockbox shall also be labeled. If the lockbox has a window which fully reveals the

label on the sharps container inside, it need not be labeled.

Full sharps containers ready for disposal shall be taped closed or tightly lidded to

preclude loss of contents.

Reusable pails, drums, dumpsters, or bins used for medical waste shall not be

used to contain solid waste, or for other purposes, except after being

decontaminated by approved procedures and all medical waste labels removed.

Reusable rigid medical waste containers shall be washed and decontaminated

each time they are emptied unless the surfaces of the containers have been

completely protected from contamination by disposable liners, bags, or other

devices removed with the waste. Decontamination shall include removal of

visible soil combined with one of the following procedures:

1. Exposure to hot water at least 180oF (82oC) for a minimum of 15 seconds.

2. Exposure to chemical sanitizer by rinsing with or immersion in one of the

following for at least 3 minutes:

a. Hypochlorite solution (500 ppm available chlorine).

b. Phenolic solution (500 ppm active agent).

c. Iodoform solution (100 ppm available iodine).

d. Quaternary ammonium solution (400 ppm active agent).


Medical waste shall be stored in an enclosed area and secured so as to deny

access to unauthorized persons. A cabinet, closet, room, dumpster, or storage

structure are all acceptable as storage areas. If the storage area is located

where there is traffic by the public, such as a closet in a hospital hallway where

visitors walk, it shall be locked.

Outdoor storage facilities must be locked at all times to deny public access and

shall provide medical waste protection from animals and natural elements. The

facility shall be maintained in good repair and kept clean so as not to provide a

breeding place or a food source for insects or rodents.

The storage facility shall be marked with warning signs on, or adjacent to, the

exterior of entry doors, gates, or lids. The warning sign shall be worded as

follows in both English and in Spanish:

-CAUTION-

BIOHAZARDOUS WASTE STORAGE AREA

UNAUTHORIZED PERSONS KEEP OUT

-CUIDADO-

ZONA DE RESIDUOS BIOLOGICOS PELIGROSOS

PROHIBIDA LA ENTRADA A PERSONAS NO AUTORIZADAS

FIGURE 4: Example of a sign of a medical waste storage area. Coloring on signs must

be of a sharp contrast between background and lettering.

Warning signs shall be clearly legible during daylight from a distance of at least 25 feet

for the Designated Medical Waste Storage Area. The Interim Medical Waste Storage

Area must be labeled with either, the required wording from the above sign, or the

international biohazard symbol legible from at least 5 feet.


FIGURE 5: The above are examples of approved medical waste storage areas designed to

provide protection from natural elements, animals, and insects.

A facility may have an Interim Storage Area and/or a Designated Storage Area.

The Interim Storage Area is defined as an area for storing medical waste prior

transfer to the designated medical waste storage area. The Designated medical

waste storage area is the area used for the storage of medical waste containers

prior to transportation.

Medical waste storage time is dependent upon temperature, type of waste and

amount of medical waste generated. Storage time of biohazardous waste,

pathology waste, pharmaceutical waste, and trace chemotherapy waste starts

from the time waste is first placed in the red biohazard bag. Storage time of

sharps waste begins from the time the sharps container is full and ready for


treatment. Biohazardous waste placed in sharps containers, such as blood vials,

has the storage time of biohazardous waste.

1. Small-quantity generators who generate less than 20 pounds of

biohazardous waste, trace chemotherapy waste, and/or pathology

waste per month shall not stores any of these wastes waste above

32oF (0oC) on-site for more than 30 days.

2. Generators who generate 20 or more pounds of biohazardous waste,

trace chemotherapy waste, and/or pathology waste per month shall

not store biohazardous waste above 32oF (0oC) for more than 7 days

without written approval of EHD.

3. Sharps waste shall not be stored for more than 30 days after

containers are full and ready for treatment.

4. Biohazardous waste, trace chemotherapy waste, and/or pathology

waste shall not be stored at, or below 32oF (0o) for more than 90

days before treatment without written approval from EHD.

5. Pharmaceutical waste shall be stored onsite for not longer than 90

days from when the container is ready for disposal or, unless prior

written approval from the enforcement agency is obtained. The

pharmaceutical waste container shall be emptied at least once per

year from the date the first pharmaceutical waste was placed in the

container, unless prior written approval from EHD is obtained.

6. Pharmaceutical waste may be stored at a permitted transfer station

for not longer than 30 days. Pharmaceutical waste shall not be

stored at any location or facility offsite from the generator for more

than 30 days before treatment.

If at any time odor from biohazardous waste, trace chemotherapy waste,

sharps waste, and/or pathology waste stored at a facility poses a nuisance,

EHD may require more frequent removal.

Trash chutes shall not be used to transfer medical waste. Grinding or

compacting of medical waste shall not be used unless it is an integral part

of an alternative treatment method that has been approved by CDPH. A

compactor may be used to compact medical waste provided it meets criteria

of the MWMA and is evaluated and approved by CDPH.

Any leak or spill of medical waste by a medical waste generator, hazardous

waste transporter, or treatment facility shall be collected and contained in


an appropriate medical waste container and subsequently treated and

disposed of in accordance with current regulations. All surfaces

contaminated with fluid or semi-fluid medical waste shall be thoroughly

cleaned and disinfected.


SECTION IV.

TRANSPORTATION OF MEDICAL WASTE

All medical waste shall be transported by either a Registered Hazardous Waste

Transporter (Medical Waste Transporter) or under the conditions of a D.O.T.

Materials of Trade Exemption. The D.O.T. Materials of Trade Exemption allows

for the transport of limited quantities of medical waste, up to 35.2 lbs. per trip, to

a central location of accumulation. Medical waste generators, parent

organizations that employ health care professionals who generate medical waste,

and the owner(s) or employee(s), may transports the medical waste, provided the

following conditions are met.

To qualify for this exemption, a generator or parent organization must meet the

following requirements:

1. The principal business of the generator is not to transport or treat

regulated medical waste.

2. The generator shall adhere to the conditions and requirements set forth in

the Materials of Trade Exception, as specified in Section 173.6 of Title 49

of the Code of Federal Regulations. See Section VIII, Attachment #1, page

35, “Transportation of Limited Quantities of Medical Waste under a

Department of Transportation (D.O.T.) Materials of Trade Exemption”

requirements. The form is also available on the Ventura County Website.


3. A person transporting medical waste under a Materials of Trade Exception

shall provide a form or log to the receiving facility, and the receiving facility

shall maintain the form or log for a period of 3 years, containing all of the

following information:

A. The name of the person transporting the medical waste.

B. The number of containers of medical waste transported.

C. The date the medical waste was transported.

4. In addition to the shipping documents required by USDOT, a hazardous

waste transporter or generator who transports medical waste to a facility,

other than the final medical waste treatment facility, shall also maintain

tracking documents which contain the following information:

A. The name, address, and phone number of the medical waste

generator/transporter.



B. The type of medical waste transported and the quantity or aggregate

weight of the medical waste transported.

C. The name, address, telephone number, permit number, and the

signature of an authorized representative of the permitted facility receiving

the medical waste.

D. The date that the medical waste is collected or removed from the

generator’s facility, the date that the medical waste is received by the

transfer station, the registered large quantity generator, or point of

consolidation, if applicable, and the date that the medical waste is

received by the receiving facility.

See Section VIII, Attachment #1, page 35 for the “Transportation of Limited

Quantities of Medical Waste Under a Department of Transportation (D.O.T.)

Materials of Trade Exemption” requirements. A copy of the document can also be

found on the Ventura County Website:


During transport, medical waste shall remain contained and labeled as required in

Section III. A “Department of Transportation (D.O.T.) Materials of Trade

Exemption Sample Shipping/Tracking Document” is provided in Section VIII,

Attachment #2, page 36. A document from the “Department of Transportation

(D.O.T.) Materials of Trade Exemption- Directions for Preparing Medical Waste

Shipping Tracking Documents” can be found in Section VIII, Attachment #3, page

38. When transported in a vehicle with other waste, the medical waste shall be

separately contained or kept separate by barriers from the other waste. A copy of

the document can also be found on the Ventura County Website:


A person transporting medical waste under a Materials of Trade Exemption may

transport the medical waste to a permitted on-site medical waste treatment

facility, transfer station, parent organization, or another registered health-care

facility for the purpose of consolidation before treatment and disposal. Medical

waste transported to an off-site medical waste treatment facility shall be

transported by a registered medical waste transporter.

Medical waste transported out of state shall be consigned to a medical waste

treatment facility in the receiving state. Absent a permitted treatment facility in

the receiving state or if the medical waste is crossing an international border, the

waste shall be treated prior to being transported out of state.

One of the conditions of the D.O.T. Materials of Trade Exemption is to maintain

Shipping Documents with all of the required information set forth in Section 173.6

of Title 49 of the Code of Federal Regulations. The shipping documents required

information meets the requirements for the medical waste tracking documents as

required by the MWMA for the documentation of the transport of medical waste




and may be maintained to meet the medical waste tracking document

requirements.

Completed D.O.T shipping documents shall accompany all medical waste being

transported either by a registered medical waste transporter or by the generator.

The documents are signed by an employee of the receiving facility upon receipt

of the medical waste. The original shipping document is retained by the

receiving facility and a copy given to the generator. The documents containing

the requirements for “Transportation of Limited Quantities of Medical Waste

under a Department of Transportation (D.O.T.) Materials of Trade Exemption,

the “Department of Transportation (D.O.T.) Materials of Trade Exemption Sample

Shipping Tracking Document”, and the “Department of Transportation (D.O.T.)

Materials of Trade Exemption- Directions for Preparing Medical Waste Shipping

Tracking Documents” are provided in Section VIII, Attachment #1, page 35;

Attachment #2, page 36; & Attachment #3, page 38; and on the Ventura County

Website. All forms may be copied for use.




SECTION V.

MEDICAL WASTE TREATMENT AND DISPOSAL

All medical waste must be treated by a method that has approval of CDPH.

Treated medical waste is rendered solid waste and, if not otherwise hazardous,

may be disposed of at a sanitary landfill. Treatment methods are listed below

including alternative technologies approved by CDPH on a continuing basis.

INCINERATION is approved for treatment of biohazardous, pathology (tissues

fixed in formaldehyde or other fixatives and recognizable human anatomical

remains), trace chemotherapy, pharmaceutical, and sharps waste at a permitted

medical waste treatment facility.

Discharge to a PUBLIC SEWAGE SYSTEM is approved for the disposal of

untreated fluid blood or blood products.

CHEMICAL DISINFECTION followed by discharge to the public sewer system is

approved for treatment of liquid or semi-liquid laboratory waste provided the

chemical disinfection method meets all of the following requirements:

1. The chemical disinfection method is recognized by the National Institutes

of Health, the Centers for Disease Control and Prevention, or the

American Biological Safety Association.

2. The chemical disinfection method is identified in the Medical Waste

Management Plan.

3. Following chemical disinfection, discharge to the public sewage system is

(a) consistent with waste discharge requirements placed on the public

sewage system by the California Regional Water Control Board and (b) in

compliance with the requirements imposed by the owner or operator of the

public sewage system.

4. If the chemical disinfection of the medical waste causes the waste to

become a hazardous waste, the waste shall be managed in accordance

with existing hazardous waste laws.

STEAM STERILIZATION (AUTOCLAVE) is approved for treatment of

biohazardous and sharps waste in accordance with the following operating

procedures:


1. Standard written operating procedures shall be established for biological

indicators including time, temperature, pressure, type of waste, type of

container, closure on container, pattern of loading, water content, and

maximum load quantity. A copy of operating procedures provided by the

manufacturer is acceptable.

2. Records documenting the initial, and the subsequent required annual

employee training on the operation of the treatment unit must be

maintained available on site for at least 3 years. The training must include

the operation of the treatment equipment, proper protective equipment to

wear, if any, how to clean up spills, and other information required to

operate the equipment in a safe and effective manner. The training shall

also comply with the training requirements set forth in the federal

Occupational Safety and Health Administration regulations, including

those found in section 1910 of Title 29 of the Code of Federal Regulations.

3. Recording or indicating thermometers shall be checked during each

complete cycle to ensure attainment of 121oC (250oF) for at least 30

minutes, depending on the quantity and density of the load.

Thermometers shall be checked for calibration annually. Maintain records

of calibration checks for 3 years.

4. Heat-sensitive tape, or other acceptable method, shall be used on each

biohazardous bag or sharps container that is processed to indicate

attainment of adequate sterilization conditions.

5. The biological indicator Geobacillus stearothermophilus, or other approved

indicator, shall be placed at the center of a load processed under standard

operating conditions at least monthly to confirm the attainment of

adequate sterilization conditions.

6. Maintain records of operations for 3 years.

See Section VIII, Attachment #8, page 53 for “Operations Records for Medical

Waste Treatment By Steam Sterilization (Autoclave)”. The form is also on the

Ventura County website. The form may be used to document medical waste

treatment.


INTERMENT is approved for treatment of recognizable human anatomical

remains and animals that die from infectious diseases where the carcass

presents a danger of infection to humans.



A current list of approved ALTERNATIVE TECHNOLOGIES can be found at the

CDPH website:

https://www.cdph.ca.gov/Programs/CEH/DRSEM/Pages/EMB/MedicalWaste/Alte

rnative-Technology.aspx

A “List of CDPH Approved Alternative Medical Waste Treatment Technologies”

can be found in Section VIII, Attachment #14, page 76. NOTE: This may not be

the most current “List of CDPH Approved Alternative Medical Waste Treatment

Technologies”. Visit the CDPH website for the most current list.

Most of these treatment systems are constructed to process large quantities of

medical waste and are not practical for the small generator facility. These

treatment systems are not approved for pathology, chemotherapy, or

pharmaceutical waste unless stated otherwise.

MAIL-BACK DISPOSAL SERVICES are also approved. Generators using this

service require must maintain MEDICAL WASTE TRACKING/SHIPPING

DOCUMENTS. Medical waste mailing requirements are set and regulated by the

United States Postal Service. See the U.S. Postal Service website for mailability

standards. A copy of the USPS Mailability Standards for Medical Waste can be

found in Section VIII, Attachment #10, page 55.


Sharps containers and prepaid mailing cartons are provided by the company.

Medical waste shall be mailed only through the U.S. Postal Service. Remove the

medical waste shipping/tracking documents from the packing slip pouch on the

side of the box, complete the documents, maintain a copy for your records

available on site for at least three years, place the rest of the copies back into the

packing slip pouch, and mail back the medical waste. Tracking documents must

accompany the medical waste, and a copy of the tracking/shipping document

indicating treatment information.

Generators may choose to use a REGISTERED HAZARDOUS WASTE

TRANSPORTER (MEDICAL WASTE TRANSPORTER) to transport their

medical waste to a permitted medical waste treatment facility for treatment and

disposal. Treatment facilities may use only those methods of treatment approved

for use in California.

A “Llist of CDPH Approved Medical Waste Transporters” is provided in Section

VIII, Attachment #13, page 64. NOTE: This may not be the most current list of

approved medical waste transporters. Visit the CDPH website for a current list of

CDPH approved medical waste transporters.

https://www.cdph.ca.gov/Programs/CEH/DRSEM/CDPH%20Document%20Librar

y/EMB/MedicalWaste/Haulist041318.pdf




https://www.cdph.ca.gov/Programs/CEH/DRSEM/CDPH%20Document%20Library/EMB/MedicalWaste/Haulist041318.pdf



SECTION VI.

REGISTRATION/PERMIT REQUIREMENTS

All medical waste generators are required to register with the Ventura County

Environmental Health Division (EHD). The type of registration is dependent upon

the quantity of medical waste generated and, for small quantity generators, the

type of treatment used. Generators may file for registration as:

1. A single generator operating independently such as a single dentist in a

dental office.

2. More than one generator operating as a business in the same building,

such as a dental office and medical office located in the same building.

Medical waste may be consolidated or managed separately by each

generator.

3. A group practice such as a medical office consisting of several physicians.

4. Generators operating in different buildings on the same or adjacent

property (within 400 yards) such as a medical building and hospital located

adjacent to each other. Medical waste may be consolidated or managed

separately by each generator.

A large-quantity generator who does on-site treatment either for himself and/or

other generators is an on-site medical waste treatment facility and requires a

permit from EHD.

A small-quantity generator who does on-site treatment either for himself and/or

other generators is also an on-site medical waste treatment facility and requires a

permit from EHD.

The “Medical Waste Generator Registration/Permit Application”, shown in

Section VIII, Attachment #4, page 44, and available from EHD, is required for all

registrations and permits. A copy of the form is also available on the Ventura

County Website:


Registration and permit requirements are described as follows:

1. Large Quantity Generators require REGISTRATION which is valid for 1

year. Annual inspections are conducted by EHD. An application for

renewal of the registration must be filed not less than 90 days prior to the



expiration date. When changes in medical waste management occur,

large quantity generators shall submit an updated application within 30

days. Individual treatment and tracking records shall be retained for 3

years.

A “Medical Waste Management Plan” shall be filed with EHD. A Medical

Waste Management Plan is provided in Section VIII, Attachment #6, page

47. A copy of the form is also available on the Ventura County Website

and may be copied for use.


2. Small Quantity Generators require REGISTRATION if they do on-site

treatment of medical waste by any of the following methods:

a. Steam sterilization by autoclave.

b. Alternative technology approved by CDPH and requiring

REGISTRATION.

The registration is valid for 2 years with biennial inspections conducted by

EHD. An application for renewal of the registration must be filed on or

before the expiration date. When changes in medical waste management

occur, the small quantity generator must submit an updated application

within 30 days.

The small quantity generator using on-site treatment shall file a “Medical

Waste Management Plan” with EHD. A “Medical Waste Management

Plan” is provided in Section VIII, Attachment #6, page 47. The form is also

available on the Ventura County Website and may be copied for use.


Generators shall maintain an operations record for 3 years which will

serve as a tracking document. An “Operations Record of Medical Waste

Treatment by Steam Sterilization (Autoclave)” and a “Medical Waste

Treatment Facility Operating Record” are provided in Section VIII,

Attachment #7, page 52; and Attachment #8, page 53. Forms are also

available on the Ventura County Website and may be copied for use.


3. Small Quantity Generators require REGISTRATION-RECORDS if they

use a method of treatment and disposal other than on-site treatment as

described in paragraph 2 above. Treatment and disposal methods

include:

a. Isolyzer Sharps Management System.





b. Mail-back service for sharps.

c. Needlyzer. Additional treatment of hub and syringe is required. If

using on-site treatment as described in paragraph 2 above,

REGISTRATION is required.

d. Off-site treatment and disposal through a registered medical waste

transporter.

e. Generator transport to a permitted medical waste treatment facility,

transfer station, or another facility for consolidation before treatment

or disposal. The generator must comply with the medical waste

transportation requirements found in Section IV page 21 and in the

document “Transportation of Limited Quantities of Medical Waste

Under a Department of Transportation (D.O.T.) Materials of Trade

Exemption”, Section VIII, Attachment #1 page 35.

REGISTRATION-RECORDS are valid for 2 years, with periodic

inspections conducted by EHD. An application for renewal of the

REGISTRATION-RECORDS shall be filed on or before the expiration

date. When changes in medical waste management occur, the generator

shall submit an updated application within 30 days. The generator shall

maintain a “Medical Waste Management- Information Document” on file

and retain tracking documents for 3 years. A “Medical Waste

Management- Information Document” is provided in Section VIII,

Attachment #5, page 46. The form is also available on the Ventura County

Website and may be copied for use.


If the generator uses Isolyser Sharps Management System for treatment

of sharps waste, tracking documents are not required. Generators are

encouraged to maintain a treatment log which will serve as a tracking

document. A sample “In Office Sharps Treatment Log Isolyser or

Earthshield” is provided in Section VIII, Attachment #9, page 54; and on

the Ventura County Website. The form may be copied for use.


4. On Site Medical Waste Treatment Facilities require a PERMIT issued by

EHD. The PERMIT is valid for 5 years with annual inspections conducted

by EHD. An application for renewal of the permit must be filed not less

than 90 days prior to the expiration date.




When receiving medical waste from small quantity generators for

treatment and disposal, the treatment facility shall sign and date the

tracking documents, retain the original tracking document and return the

copy to the generator. Treatment operating records and tracking

documents for all medical waste received for treatment shall be retained

for 3 years. An “Operations Record of Medical Waste Treatment by

Steam Sterilization (Autoclave)” and a “Medical Waste Treatment Facility

Operating Record” are provided in Section VIII, Attachment #7, page 52;

and Attachment #8, page 53. Copies of the forms are available on the

Ventura County Website and may be copied for use.


5. Common Storage Facility is a designated accumulation area which is on

site and used by small quantity generators otherwise operating

independently for the storage of medical waste for collection by a

registered medical waste transporter. For example, the small quantity

generators in a building may take their waste to a central location in the

building for storage until it is picked up by the transporter.

A PERMIT issued by EHD is required for all common storage facilities.

The permit is valid for 5 years with biennial inspections conducted by

EHD.



SECTION VII.

HOME-GENERATED SHARPS AND PHARMACEUTICAL WASTE

Home Generated Sharps Waste

EHD may approve a location as a point of consolidation for the collection

of home-generated sharps waste. Such a point of consolidation may be a

pharmacy, home infusion supplier, or a medical waste generator registered

with EHD.

A home-generator is defined as a person self-administering injections or

receiving injections by a family member, and not a health care professional,

or a pet owner providing veterinary care by injection to a pet. Examples of

home-generators are the diabetic who self-injects insulin, a person

receiving injections from a spouse, or a pet owner injecting insulin into a

diabetic cat.

A home-generated sharps waste consolidation point shall comply with the

following requirements:

1. All sharps waste shall be properly contained.

See Section III.

2. Sharps containers ready for disposal shall not be held for more

than seven days without the written approval of EHD.

3. The sharps waste shall be treated at a permitted medical

waste treatment facility. The medical waste treatment facility

shall maintain tracking documents for sharps waste treated.

Home-generated sharps consolidation points are exempt from registration

requirements and fees. A “List of Home Generated Sharps Waste Disposal

Locations- “Don’t Get Stuck with Used Sharps- fee needle disposal for

Ventura County Residents”” is found in Section VIII, Attachment #11, page 61.

The document is also available on the Ventura County Environmental Health

website:


Health care professionals are requested to encourage their patients to dispose

of their sharps waste through the home-generated sharps consolidation points

located throughout Ventura County. Home generators are advised to call the

facility for days and times of collection.



Home Generated Pharmaceutical Waste

A home-generated pharmaceutical waste is defined as a pharmaceutical

(prescription or over the counter human or veterinary drug) that has been

dispensed or sold to the patient. Examples of home-generated pharmaceutical

waste are expired or unwanted prescription or over the counter human or

veterinary drugs.

EHD, in cooperation with the Ventura County Sheriff’s Offices, has

established several approved locations for the collection of home-

generated pharmaceutical waste. A “List of Pharmaceutical Drop-off

Locations for Ventura County Residents Only” can be found in Section VIII,

Attachment #12, page 63, and on the Ventura County Environmental

Health web site: https://vcrma.org/medical-waste-program

Health care professionals are requested to encourage their patients to dispose

of their unwanted and expired pharmaceutical waste through the home-

generated pharmaceutical waste collection points located throughout Ventura

County. Home generators are advised to call the facility for days and times of

collection.



Section VIII. Forms/Lists/Leaflets/Links

1. Transportation of Limited Quantities of Medical Waste ……………………35

under a Department of Transportation (D.O.T.) Materials

of Trade Exemption


2. Department of Transportation D.O.T. Materials of Trade …………………36

Exemption Medical Waste Generator Sample Shipping/Tracking

Document


3. Department of Transportation (D.O.T.) Materials of Trade ……………….38

Exemption Directions for Preparing Medical Waste

Shipping/Tracking Documents


4. Medical Waste Generator Registration/Permit Application…………..……44


5. Medical Waste Management-Information Document……………………....46


6. Medical Waste Management Plan……………………………………………47


7. Medical Waste Treatment Facility Operating Record………………………52


8. Operations Records for Medical Waste Treatment by Steam…………..…53

Sterilization (Autoclave)


9. In Office Sharps Treatment Log Isolyser or Earthshield………………...…54


10. United States Postal Service mailability standards for medical waste…...55















11. List of Home Generated Sharps Waste Disposal- "Don't Get …………….61

Stuck with Used Sharps" - free needle disposal for

Ventura County Residents (in English and Spanish)


12. List of Pharmaceutical Drop-off Locations for ………………………………63

Ventura County Residents Only


13. List of CDPH approved Medical Waste Transporters………………………64

https://www.cdph.ca.gov/Programs/CEH/DRSEM/CDPH%20Document%2

0Library/EMB/MedicalWaste/Haulist020718.pdf

14. List of CDPH Approved Medical Waste Alternative…………………..…….76

Treatment Technologies

https://www.cdph.ca.gov/Programs/CEH/DRSEM/Pages/EMB/MedicalWas

te/Alternative-Technology.aspx








Ventura County Environmental Health Division 800 S. Victoria Ave., Ventura CA 93009-1730

TELEPHONE: 805/477-7110 FAX: 805/477-1595 Internet Web Site Address: https://vcrma.org/medical-waste-program

TRANSPORTATION OF LIMITED QUANTITES OF MEDICAL WASTE UNDER

A D.O.T. MATERIALS OF TRADE EXEMPTION. The MWMA, Section 117946 and Section 117976, will allow for the transport of up to 35.2 pounds of medical waste to a central point of accumulation for consolidation and disposal, provided the following conditions are met:

1. The principal business of the generator is not to transport or treat regulated medical waste.

2. The generator shall adhere to the conditions and requirements set forth in the materials of trade exception, as specified in Section 173.6 of Title 49 of the Code of Federal Regulations.

3. A person transporting medical waste pursuant to this section shall provide a shipping document to the receiving facility, and the receiving facility shall maintain this document for a period of two years, containing all of the following information:

A. The name of the person transporting the medical waste. B. The number of containers of medical waste transported.

C. The date the medical waste was transported.

4. A generator shall maintain these shipping documents on-site or electronically, for not less than three years.

5. A generator transporting medical waste pursuant to this section shall not be regulated as a hazardous waste hauler pursuant to Section 117660.




MEDICAL WASTE GENERATOR SHIPPING DOCUMENT California Health and Safety Code, (Section 117946 & 117976) requires a generator transporting medical waste have a shipping document in his or her possession while transporting the waste. Prepare in duplicate. The receiving facility retains the original; the generator retains the copy. A representative of the receiving facility must sign and date the shipping document upon receipt of medical waste.

GENERATOR:______________________________________________________ TELEPHONE: ___________________

ADDRESS: _________________________________________________________________________________________

RECEIVING FACILITY:_____________________________________________ TELEPHONE: _____________________

ADDRESS: _________________________________________________________________________________________

REGISTRATION/PERMIT #: ___________________________________________________________________________

I hereby declare that the contents of this consignment are fully and accurately described above by the proper

shipping name, and are classified, packaged, marked and labeled/placarded, and are in all respects in proper

condition for transport according to applicable international and national governmental regulations.

Date Received: ______________________ Signature of Authorized Representative: ________________________________________

IN CASE OF EMERGENCY CONTACT: _________________________ TELEPHONE: (___)__________________

Shipping ID Number

Shipping Name/ type of medical waste

Hazard Class

Packing Group

Special Provisions

Subsidiary Hazards

Number of containers

Volume or weight of shipment

UN3373

Biological substance/ sharps, red bag

biohazard, pathology waste

6.2 A82

UN3248 Medicine, liquid,

flammable, toxic, NOS, Pharmaceutical waste

3 II 38, 36, IB2, IB3 3, 6.1

UN1851 Medicine, liquid, toxic,

NOS, Trace Chemotherapy waste

6.1 II & III 36 3, 6.1

UN3249 Medicine, solid, toxic, NOS, Pharmaceutical

waste 6.1 II & III 36, T1, T3, TP33 6.1


Shipping ID Number

Shipping Name/Type of Medical Waste

Hazard Class Packing Group Special Provisions Subsidiary Hazards

Identification number. Column 1 lists the identification number assigned to each proper shipping name. Those preceded by the letters ‘‘UN’’ are associated with proper shipping Names considered appropriate for international transportation as well as domestic transportation.

Hazardous materials descriptions and proper shipping names. Column 2 lists the hazardous materials descriptions and proper shipping names of materials designated as hazardous materials.

Hazard class or Division. Column 3 contains a designation of the hazard class or division corresponding to each proper shipping name, or the word ‘‘Forbidden’’. (1) A material for which the entry in this column is ‘‘Forbidden’’ may not be offered for transportation or transported. This prohibition does not apply if the material is diluted, stabilized or incorporated in a device and it is classed in accordance with the definitions of hazardous materials contained in part 173 of this subchapter.

Packing group. Column 4 specifies one or more packing groups assigned to a material corresponding to the proper shipping name and hazard class for that material. Class 2, Class 7, Division 6.2 (other than regulated medical wastes), and ORM-D materials, do not have packing groups. Packing Groups I, II and III indicate the degree of danger presented by the material is either great, medium or minor, respectively. If more than one packing group is indicated for an entry, the packing group for the hazardous material is determined using the criteria for assignment of packing groups specified in subpart D of part 173.

Special provisions. Column 5 specifies codes for special provisions applicable to hazardous materials. When Column 5 refers to a special provision for a hazardous material, the meaning and requirements of that special provision are as set forth in § 172.102 of this subpart.

Subsidiary Hazards The hazard class or division number prescribed for the material, as shown in Column (3) of the § 172.101 table. The subsidiary hazard class or division number is not required to be entered when a corresponding subsidiary hazard label is not required. Except for combustible liquids, the subsidiary hazard class(es) or subsidiary division number(s) must be entered in parentheses immediately following the primary hazard class or division number.

http://www.law.cornell.edu/cfr/text/49/172.101

Department of Transportation (D.O.T.) Materials of Trade Exemption Directions for Preparing Medical Waste Shipping Tracking Documents

Department of Transportation (D.O.T.) Materials of Trade Exemption Directions for Preparing Medical Waste Shipping Tracking Documents



MEDICAL WASTE GENERATOR REGISTRATION-PERMIT APPLICATION

Business Name DBA) ________________________________________________ Telephone __________________________________

Fax ______________________________________

Address ___________________________________________________________ City/Zip ____________________________________

Contact E-mail _____________________________________________________

Contact Person _____________________________________________________ Telephone _________________________________

Billing Address _____________________________________________________ City/Zip ____________________________________

Billing Contact ______________________________________________________ Telephone _________________________________

Business Owner Name _______________________________________________ Telephone _________________________________

Business Owner Mailing Address _______________________________________ City/Zip_________________________________

PART I. GENERATION OF MEDICAL WASTE Complete the section below, referring to the Ventura County Medical Waste Management Guide to Compliance for assistance in identifying your medical waste.

I generate the following types of medical waste:

_____ Biohazardous (red bag) _____ Sharps _____ Pathological _____ Pharmaceutical _____ Trace Chemotherapy _____ Trace Chemotherapy Sharps _____ Commingled Sharps and Pharmaceutical waste

Medical waste is treated by: _____ Mail-back Name:_________________________________ _____ Transport to _______________________________ (Under a D.O.T. Materials Of Trade Exemption) _____ Pick-up by registered medical waste transporter: Name: ________________________________ _____ On-site by autoclave _____ Approved Alternative Technology Name:_________________________________

Generator Filing as (Section 1):

____ Large-Quantity Generator (generators 200 or more pounds of medical waste any month in a 12-month period.)

_____ General acute-care hospital. Number of beds _______ _____ Clinical laboratory _____ Acute psychiatric hospital _____ Veterinary hospital/clinic _____ Skilled nursing facility. Number of beds ________ _____ Medical office _____ Chronic dialysis clinic _____ Miscellaneous facility _____ Surgical clinic _____ Bio-Tech facility. Number of buildings

___

_____ Small-Quantity Generator (generates less than 200 pounds of medical waste per month) _____ Common Storage Facility. Number of generators served ______ _____ On-site treatment facility for other generators (attach a list of the generators you service).

Generator Filing as (Section 2):

____ Single generator operating independently. ____ Group practice. Attach a list of all generators. ____ Generators operating in different buildings on the same or adjacent property (within 400 yards). Attach a list of all generators and

their addresses.


PART II. GENERATION OF HAZARDOUS WASTE. Complete the information below concerning the generation of hazardous waste: _____ X-ray System _____ Silver recycled following reclamation. Recycling Company _________________________________________________

_____ Pick-up by registered hazardous waste transporter. Name _________________________________________________

_____ Digital X-ray System

_____ Other hazardous waste (chemical sterilant, amalgam, lead foils, bulk chemotherapy waste, pressurized inhalers, RCRA P & U listed hazardous waste pharmaceuticals.) _____ Controlled Substances pharmaceutical waste

PART III. CERTIFICATION FOR MEDICAL WASTE GENERATORS

I declare under penalty of law that to the best of my knowledge and belief, the statements made herein are correct and true. I hereby consent to all necessary inspections made pursuant to the California Medical Waste Management Act and Ventura County Ordinance and incidental to the issuance of this Registration/Permit and the operation of this business. Signature__________________________________________________________ Date ________________________________

FOR OFFICE USE ONLY

Application Year _____________ Registration ______ Reg-Records ______ Permit ______ Date ___________ REHS Init ______



MEDICAL WASTE MANAGEMENT – INFORMATION DOCUMENT

INSTRUCTIONS TO APPLICANT: 1. The California Health and Safety Code, Section 117945(a) requires this form be completed by small-quantity medical waste

generators requiring Registration-Records. Such generators treat and dispose of their medical waste by Isolyser; mail-back service for sharps, off-site treatment and disposal through a registered medical waste transporter; transport by the generator with a Limited-Quantity Hauling Exemption to a permitted medical waste treatment facility, transfer station, parent organization, or another health care facility for consolidation; or treatment by an approved alternative technology requiring Registration-Records.

2. The Information Document shall be updated only when information contained therein changes. 3. Submit a copy of this document to the Environmental Health Division. 4. Maintain this document on file in your office.

APPLICANT: 1. Name (DBA): __________________________________________________________________ Telephone: __________________________

2. Address: ______________________________________________________________________ Contact Person: ______________________

3. Check the types of medical waste generated with containment as indicated: ____ Biohazardous waste in red biohazard bags in secondary container labeled “Biohazardous Waste” or

“BIOHAZARD” and the international biohazard symbol on lid and all sides.

____ Pathology waste in red biohazard bags in secondary container labeled “Pathology Waste” or “PATH” on lid and all sides.

____ Chemotherapy waste in red biohazard bags in secondary container labeled “Chemotherapy Waste” or

”CHEMO” on lid and on all sides.

____ Pharmaceutical waste in container labeled “FOR INCINERATION ONLY” on lid and all sides. This does not include any pharmaceutical regulated under the Federal Resource Conservation and Recovery Act (RCRA) or Radiation Control Law.

____ Sharps waste, except sharps contaminated with chemotherapy waste, in sharps containers labeled “SHARPS

WASTE” or “BIOHAZARD” and the international biohazard symbol.

____ Sharps waste contaminated with chemotherapy waste in sharps containers labeled “CHEMOTHERAPY WASTE” or “CHEMO”.

4. Indicate where medical waste is located and/or stored: ________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________

5. Indicate disposal frequency and quantity (lbs.) per month: ______________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________

6. Indicate how medical waste is treated and disposed: __________________________________________________

____________________________________________________________________________________________ ____________________________________________________________________________________________

7. I hereby certify that to the best of my knowledge and belief, the statements made herein are correct and true. Signature: ______________________________________________________ Date: _____________________


8/17/05: McKinns/Medwaste/Med Waste Mgmt Plan Page 1



MEDICAL WASTE MANAGEMENT PLAN INSTRUCTIONS:

In accordance with the Medical Waste Management Act, Sections 117960 and 117935, a Medical Waste

Management Plan is required for all generators who are in one or more of the following categories. Check as

appropriate below and provide the information requested. A copy of this Medical Management Plan shall be

filed with the Environmental Health Division and a copy maintained in the generator’s files.

CHECK ONE: _____ Large-quantity generators (greater than 200 lbs. of medical waste generated per month)

_____ Small-quantity generator using on-site treatment (autoclave, shredder/disinfection, dry heat disinfection, electron beam, thermal-activated plastic sterilization, or other approved treatments)

_____ Small-quantity generator owning-operating a medical waste treatment facility NAME OF GENERATOR: ___________________________________________________________ BUSINESS:

Street Address: _____________________________________________________________

City, CA, Zip: _______________________________________________________________

TYPE OF BUSINESS: ______________________________________________________________ CONTACT PERSON: ________________________________ TELEPHONE: __________________ A. Section I: Check the types of Medical Waste generated and provide the total monthly

amount of Medical Waste generated.

I. Type

_____ A. Biohazardous Waste



_____ 1. Laboratory Waste: Specimen or microbiologic cultures, stocks of infectious agents, live and attenuated vaccines, culture dishes, and devices used to transfer, inoculate, and mix cultures.

_____ 2. Blood: Blood-contaminated body secretions/wastes, blood

products, or articles saturated with fluid blood

_____ 3. Contaminated Animals: Animal carcasses, body parts, or bedding materials suspected of being contaminated with a disease communicable to humans.

_____ 4. Surgical Specimens: Human or animal parts or tissues removed

surgically or by autopsy which are suspected by the attending physician/surgeon/dentist of being contaminated with a communicable disease.

_____ 5. Isolation Waste: Waste contaminated with excretion, exudates, or

secretions from humans or animals that are isolated due to highly communicable disease (Center for Disease Control, Biosafety Level 4).

_____ B. Pathology Waste which is hazardous only because it is comprised of

human surgery specimens or tissues, which have been fixed in formaldehyde or other fixatives.

_____ C. Trace Chemotherapy Waste which is contaminated through contact with

or previously contained trace amounts of chemotherapeutic agents including, but not limited to, gloves, disposable gowns, towels, empty intravenous solution bags and tubing.

_____ D. Pharmaceutical waste is a prescription or over-the-counter human or

veterinary drug that is a waste and cannot be returned to a reverse distributor for credit. This does not include any pharmaceutical regulated by the federal Resource Conservation and Recovery Act (RCRA federally regulated hazardous waste) or the Radiation Control Law.

_____ E. Sharps Waste: Syringes, needles, blades, slides, root canal files,

acupuncture needles, broken glass, etc., contaminated with biohazardous waste, and/or any item capable of cutting or piercing from trauma scene waste.

_____ F. Trace Chemotherapy Sharps Waste is sharps waste contaminated

through contact with, or previously contained trace amounts of chemotherapeutic agents.

G. Estimated Total Monthly Waste (lbs.): _______________________

B. Complete Sections II thru VI to indicate how Medical Waste is contained, stored, treated and to provide information concerning your Emergency Action Plan.

II. CONTAINMENT


A. Biohazardous: _____________________________________________________

___________________________________________________________________ B. Sharps: ___________________________________________________________

C. Trace Chemotherapy Sharps: __ ______________________________________

D. Pathology: __________________________ __________________

E. Trace Chemotherapy: _______

_________________________________

F. Pharmaceutical:

_______________________________________ __________________________________________________________________

III. Storage prior to treatment:

___________________________________________________________________________ ___________________________________________________________________________

IV. Is Medical Waste transportation under a D.O.T. Materials of Trade hauling exemption?

Yes ___ No ____. If YES, provide:

Receiving facility name ________________________________________________________

Street Address _______________________________________________________________

City, ST, Zip _________________________________________________________________

V. TREATMENT (On-site or Off-site):

A. On-Site Treatment

Treatment Capacity (Size)

____ Autoclave _____ Shredder/Disinfect __________________

____ Incinerator _____ Electro-Thermal Deactivation __________________ ____ Shredder/Microwave _____ DSI Sharps Disposal System __________________ _____ Other __________________


B. Registered Hazardous or Medical Waste Hauler used for back-up in case of treatment facility breakdown:

Name _____________________________________________________________

Street Address ______________________________________________________

City, ST, Zip ________________________________________________________

Telephone: Area Code ___________ Telephone _______________________ C1. Off-site Treatment/Disposal through Registered Hazardous or Medical Waste Hauler

(includes service arranged by building management, if applicable):

Name ____________________________________________________________

Street Address _____________________________________________________

City, ST, Zip ________________________________________________________

Telephone: Area Code ___________ Telephone ______________________

C2. Off-site Treatment/Disposal through Registered Hazardous or Medical Waste Hauler (includes service arranged by building management, if applicable):

Name ____________________________________________________________

Street Address _____________________________________________________

City, ST, Zip ________________________________________________________

Telephone: Area Code ___________ Telephone ______________________

D1. Treatment facility receiving waste:

Name ____________________________________________________________

Street Address______________________________________________________

City, ST, Zip ________________________________________________________

Telephone: Area Code ____________ Telephone _______________________

D2. Treatment facility receiving waste:

Name ____________________________________________________________

Street Address______________________________________________________

City, ST, Zip ________________________________________________________


Telephone: Area Code ____________ Telephone _______________________

VI. Emergency Action Plan: shall be completed by small-quantity generators using on-site

treatment and by all large-quantity generators. Indicate procedures that are taken in the event of a medical waste spill for each type of medical waste generated.

A. Biohazardous: ____________________________________________________

________________________________________________________________

B. Sharps: _________________________________________________________ ________________________________________________________________

C. Trace Chemotherapy Sharps: ________________________________________

________________________________________________________________

D. Pathology: __________________________________________ ________________________________________________________________ E. Trace Chemotherapy: _________________________________

________________________________________________________________ F. Pharmaceutical: ______________________________________

________________________________________________________________

Maintain a copy of this document in your files. Submit one copy to the Ventura County Environmental Health Division (address shown at the top of page 1). I hereby certify that to the best of my knowledge and belief, the statements made herein are correct and true. Signature: _______________________________________________ Date: _________________




MEDICAL WASTE TREATMENT FACILITY

OPERATING RECORD Name of Medical Waste Treatment Facility:

ID Number:

Site Address:

Contact Person: Telephone:

Method of Treatment Used: Capacity:

California Health and Safety Code, Section 118165 requires that medical waste treatment facilities maintain

operating records and the original copies of the tracking documents for a period of three years. DATE

RECEIVED

DATE TREATED

GENERATING FACILITY

TYPE OF

WASTE QUANTITY OF

WASTE

INITIALS




OPERATIONS RECORD OF MEDICAL WASTE TREATMENT BY STEAM STERIALIZATION (Autoclave)

GENERATOR NAME: INSTRUMENT ID:

ADDRESS: INSTRUMENT LOCATION:

The California Health and Safety Code, Section 118215(c)(5) requires that generators who treat their medical waste by steam sterilization maintain operations records for a period of three years.

DATE LOAD

DESCRIPTION RUN

TIME RUN

TEMP

HEAT-SENSITIVE

INDICATOR MONTHLY SPORE

TEST INITIALS REMARKS YES NO PASS FAIL



TELEPHONE: 805/477-7110 FAX: 805/477-1595

Internet Web Site Address: https://vcrma.org/medical-waste-program

IN- OFFICE SHARPS TREATMENT LOG ISOLYSER OR EARTH-SHIELD

Generator Name:

Telephone: Address:

It is recommended that medical waste generators using an in-office sharps treatment system such as Isolyser (Sharps Management System (SMS)) or Earth-Shield (Sharp Shield) maintain a treatment log for a period of two years.

Date

Lot/Serial No.

Initials

Date

Lot/Serial No.

Initials




10.17.5 Sharps Waste and Other Mailable Regulated Medical Waste

Regulated medical waste and sharps medical waste known or suspected to contain a Category A infectious substance is not

mailable. Regulated medical waste and sharps medical waste as defined in 10.17.2f and 10.17.2g, and containing materials

classified as Category B infectious substances, must be marked UN 3291 and are permitted for mailing only using

merchandise return service (see 507.11.0) with First-Class Mail or Priority Mail service, subject to the following

requirements:

a.Authorization. Each vendor of a complete regulated medical waste or sharps waste mailing container system (including all component parts required to safely mail such waste to a storage or disposal facility) must obtain authorization from the USPS prior to mailing. Before applying for authorization, each type of mailing container system must be tested and certified under the standards in 10.17.5e by an independent testing facility. The vendor in whose name the authorization is being sought must submit a written request to the manager, Mailing Standards, USPS Headquarters (see608.8.0, USPS Contact Information, for address). The request for authorization must contain the following:

1.An irrevocable $50,000 surety bond or letter of credit as proof of sufficient financial responsibility to cover disposal costs if the vendor ceases doing business before all its waste container systems are disposed of or to cover cleanup costs if spills occur while the containers are in USPS possession. The surety bond or letter of credit must be issued in the name of the vendor seeking the authorization and must name the USPS as the beneficiary or obligee. Vendors that market their containers to distributors are responsible for disposal and cleanup costs attributed to those containers. In addition, vendors must provide a list of distributors, including firm names, addresses, and telephone numbers, to the Postal Service on request.

2.Address of the headquarters or general business office of the vendor seeking the authorization.

3.Name, address, and phone number of each storage and disposal site.

4.List of all types of mailing container systems to be covered by the request, a complete sample of each mailing container system, and proof of package testing certifications performed by the independent testing facility that subjected the packaging materials to the testing requirements in 10.17.5e.

5.Copy of the proposed waste shipping paper to be used with each mailing container system.

6.24-hour toll free telephone number for emergencies.

7.List of the types of waste to be mailed for disposal in each mailing container system.

8.Copy of the merchandise return service label to be used with each mailing container system and verification that the merchandise return service permit fee and accounting fee have been paid.

9.Address of the Post Office or postage due unit where the containers are delivered.

b.Packaging. Regulated medical waste and sharps medical waste that also meets the definition of a Category A infectious substance is not mailable. A medical waste material treated by steam sterilization, chemical disinfections, or other appropriate method so that it no longer contains a Category A or Category B infectious substance must be packaged under 10.17.8. The packaging for regulated medical waste and sharps medical waste containing or suspected of containing a Category B infectious substance is subject to these standards:

1.Sharps medical waste and regulated medical waste meeting the definitions in 10.17.2e and 10.17.2g must be collected in a rigid, securely sealed, and leakproof primary receptacle. For sharps waste, the primary receptacle must also be puncture-resistant and may not have a maximum capacity that exceeds 3 gallons in volume. For regulated medical waste, the primary receptacle may not have a maximum capacity that exceeds 5 gallons in volume. Each primary receptacle may not contain more than 50 ml (1.66 ounces) of residual waste liquid. Each primary receptacle must display the international biohazard symbol shown in Exhibit 10.17.5d3. Package testing results must show that the contents did not penetrate through the primary container during package testing and that the primary container can maintain its integrity at temperatures as low as 0°F and as high as 120°F.

2.The primary receptacle must be packaged within a watertight secondary container or containment system. The secondary container may consist of more than one component. If one of the components is a plastic bag, the bag must be at least 4 mil in thickness and must be used in conjunction with a fiberboard box. A plastic bag by itself does not meet the requirement for a secondary container. Several primary receptacles may be enclosed in a secondary container. The primary receptacle(s) must fit securely and snugly within the secondary container to prevent breakage during ordinary processing.


http://pe.usps.com/Archive/HTML/DMMArchive20100607/601.htm#wp1107780










3.The secondary container must be enclosed in a strong outer shipping container constructed of 200-pound grade corrugated fiberboard. The joints and flaps of the outer shipping container must be securely taped, glued, or stitched to maintain the integrity of the container. When tape or glue is used to secure an outer shipping container, the material must be water-resistant. Fiberboard boxes with interlock bottom flaps (i.e., easy-fold) are not permitted as outer shipping containers unless reinforced with water-resistant tape. The secondary container must fit securely and snugly within the outer shipping container to prevent breakage during ordinary processing.

4.There must be enough material within the primary receptacle to absorb and retain three times the total liquid allowed within the primary receptacle (150 ml per primary receptacle) in case of leakage.

5.Each mailpiece must not weigh more than 25 pounds. Medical Professional Packages as identified in 10.17.5c, may not weigh more than 35 pounds. The container's maximum allowable weight must be printed on the outside of the box and on the assembly and closure instructions included with each mailpiece. The mailpiece must be tested at the maximum allowable weight identified by the vendor.

6.In each mailing container system, the authorized vendor must include a step-by-step instruction sheet that clearly details the proper sequence and method of container system assembly prior to mailing to prevent package failure during transport due to improper assembly. The instruction sheet must also include a customer service telephone number, or provide specific information on where such a telephone number is located elsewhere on the container system, for third-party end users to contact if they have assembly questions or find a component part is missing.

c.Medical Professional Packages. Medical Professional Packages, while intended for use by small medical offices, is not limited to use by medical offices only. One primary receptacle larger than 5 gallons in volume may be used for mailing pre-primary sharps receptacles (sharps receptacles normally used in doctors' offices) and other regulated medical waste under the following conditions:

1.The mailpiece must meet all the requirements in 10.17.5 except for the primary receptacle capacity limits of 10.17.5b1.

2.Only rigid, securely closed, puncture and leak-resistant pre-primary sharps receptacles that meet or exceed Occupational Safety and Health Administration standards as identified in 29 CFR 1910.1030, may be placed inside the primary receptacle. Each pre-primary sharps container may contain no more than 50 ml (1.66 ounces) of residual waste liquid. Several pre-primary sharps receptacles may be enclosed in the single primary receptacle.

3.Multiple tie-closed plastic bags of regulated medical waste may be placed inside the single primary receptacle.

4.The primary receptacle must be lined with a plastic bag at least 4 mil in thickness and must include sufficient absorbent material within the liner to absorb all residual liquid in the primary receptacle.

5.The mailpiece must not weigh more than 35 pounds.

d.Mailpiece Labeling, Marking, and Documentation. Regulated medical waste and sharps waste must meet the following requirements:

1.For Medical Professional Packages, the additional marking "Medical Professional Packaging" must be clearly printed in lettering at least 2 inches high on the address side of the outer shipping container.

2.Each primary receptacle and outer shipping container must bear a label, which cannot be detached intact, showing: (a) the company name of the vendor to which the mailing authorization is issued; (b) the USPS Authorization Number, and; (c) the container ID number (or unique model number) signifying that the packaging material is certified and that the vendor obtained the authorization required by 10.17.5a. Place the label on the top or on a side of the container.

3.The primary receptacle(s) and the outer shipping container must bear the international biohazard symbol in black with either a fluorescent orange or fluorescent red background as shown in Exhibit 10.17.5d3. The symbol on the outer shipping container must be at least 3 inches high and 4 inches wide.

Exhibit 10.17.5d3 International Biohazard Symbol






http://pe.usps.com/Archive/HTML/DMMArchive20100607/601_biohazard_t.htm

4.Each mailpiece must have a four-part waste shipping paper. The shipping paper must be affixed to the outside of the mailpiece in an envelope or similar carrier that can be easily opened and resealed to allow review of the document. The shipping paper must comply with all applicable requirements imposed by the laws of the state from which the container system is mailed. At a minimum, the information in Exhibit 10.17.5d4 must be on the shipping paper.

Exhibit 10.17.5d4 Shipping Paper for Regulated Medical Waste and Sharps Waste Containers

SECTION INFORMATION REQUIRED

1. Generator (Mailer) a. Name.

b. Complete address (not a Post Office box).

c. Telephone number.

d. Description of contents of mailing container.

"Regulated Medical Waste" or "Regulated Medical

Waste-Sharps" is required as appropriate.

e. Date container was mailed.

f. State permit number of approved facility in which

contents are to be disposed of.

2. Destination Facility

(Disposal Site)

Complete address (not a Post Office box)

3. Generator's (Mailer's)

Certification

The following certification statement must be printed on

the shipping paper:

"I certify that this container has been approved for the

mailing of [insert either "regulated medical waste" or

"sharps waste," as appropriate], has been prepared for

mailing in accordance with the directions for that purpose,

and does not contain excess liquid or nonmailable

material in violation of the applicable Postal Service

regulations. I AM AWARE THAT FULL

RESPONSIBILITY RESTS WITH THE GENERATOR

(MAILER) FOR ANY VIOLATION OF 18 USC 1716

WHICH MAY RESULT FROM PLACING IMPROPERLY

PACKAGED ITEMS IN THE MAIL. I also certify that the

contents of this consignment are fully and accurately

described above by proper shipping name and are

classified, packed, marked, and labeled, and in proper

condition for carriage by air according to the national

governmental regulations."

This statement must be followed by printed or typewritten

name of generator (mailer), signature of generator, and

date signed.

4. Destination Facility

(Storage or Disposal

Site)

The following certification statement of receipt, treatment,

and disposal must be printed on the shipping paper:

"I certify that the contents of this container have been

received, treated, and disposed of in accordance with all

local, state, and federal regulations."


This statement must be followed by printed or typewritten

name of an authorized recipient at destination facility,

signature of authorized recipient, and date signed.

5. Transporter

Intermediate Handler

Other Than the Postal

Service (If Different From

Destination Facility)

a. Name.

b. Complete address (not a Post Office box).

c. Printed or typewritten name of transporter or

intermediate handler.

d. Signature of transporter or intermediate handler and

date signed.

6. Serialized Waste

Shipping Papers

Each waste shipping paper or mail disposal service

shipping record must be serialized using a unique

numbering system for identification purposes.

7. Comment Area Each shipping paper must contain an area designated for

entering comments or noting discrepancies.

8. Completion and

Distribution of

Waste Shipping Paper

Each shipping paper must contain instructions for

properly completing the four-part form.

Copies of the form must be distributed as follows:

a. One copy must be kept by generator (mailer).

b. One copy must be kept by transporter or intermediate

handler for 90 days.

c. One copy must be kept by destination facility for 90

days.

d. One copy must be mailed to generator by destination

facility.

9. Emergency

Telephone

Number

Each shipping paper must bear the following statement

with appropriate information:

"IN CASE OF EMERGENCY, OR THE DISCOVERY OF

DAMAGE OR LEAKAGE, CALL

1-800-###-####."

5.The outer shipping container must bear a properly prepared merchandise return service label (see 507.11.0). The merchandise return service permit must be held in the same name as that of the authorized medical waste vendor.

6.The outer shipping container must be marked on two opposite side walls with the package orientation marking in 49 CFR 173.312 to identify the proper upright position of the mailpiece during handling.

7.Mailpieces containing regulated medical waste or sharps waste must be marked on the address side with the correct UN number and proper shipping name (e.g., "Regulated Medical Waste, UN 3291" or "Regulated Medical Waste-Sharps, UN 3291").

8.Vendors must retrieve mailpieces held at processing facilities due to improper labeling such as no return address or due to improperly completed shipping papers.

e.Package Testing. Vendors must submit to the manager, Mailing Standards (see 608.8.0 for address), package testing results from an independent testing facility for each package for which the vendor is requesting authorization. In addition, vendors must submit package testing results from an independent testing facility when the design of a container system changes or every 24 months, whichever occurs first. The test results must show that if every mailpiece prepared for mailing were subject to the environmental and test conditions in 49 CFR and the additional test requirements in 10.17.5f, no contents would be released into the environment and the effectiveness of the packaging would not be significantly reduced. The Postal Service may require proof of accreditation or other documentation to support the credentials of an independent testing facility.




f.Testing Criteria. Packages tested for approval as Medical Professional Packages may not be tested using pre-primary containers that are currently, or have previously been, approved as USPS primary containers. Test reports must identify by brand name the pre-primary containers used during testing. Each mailpiece must pass each of the tests described below:

1.Leak-proof test. The test must be conducted on one primary receptacle with the lid in place, without the secondary and outer packaging. The test duration must be at least 5 minutes and must be conducted at 20 kPa (3 psi). The pass/fail criterion is: no air leakage from anywhere other than the closure of the primary receptacle. Air leakage at the closure is not considered a failure if the primary receptacle passes the test for watertightness as determined by placing 50 ml of deionized water into the primary receptacle, securing the closure, and then turning the container on its side and observing for any evidence of leakage. Any evidence of water leaking from the primary receptacle is a failure.

2.Stacking test. One mailpiece must withstand the test in 49 CFR 178.606. The dynamic compression test must be conducted on the empty, unsealed mailpiece assembled for mailing, without the primary receptacle(s). The test mass is the vendor-identified maximum weight, not to exceed 25 pounds, as indicated on the outer shipping container and on the assembly and closing instructions. A compensation factor of 1.5 must be used to compute the test load, based on the vendor-identified weight. The pass/fail criteria are: no buckling of the sidewalls sufficient to cause damage to the contents in the primary receptacle, and in no case does the deflection exceed 1 inch.

3.Vibration test. One mailpiece filled with sharps or other regulated medical waste must withstand the test in 49 CFR 178.608. The test mailpiece is filled with sharps or other regulated medical waste to the vendor-identified maximum weight, not to exceed 25 pounds, as indicated on the outer shipping container and on the assembly and closing instructions. The test sample is prepared as it would be for mailing. The pass/fail criterion is: no rupture, cracking, or splitting of any primary receptacle.

4.Wet drop test. Five mailpieces filled with sharps or other regulated medical waste must withstand the test in 49 CFR 178.609e. Each test mailpiece is filled with sharps or other regulated medical waste to the vendor-identified maximum weight, not to exceed 25 pounds, as indicated on the outer shipping container and on the assembly and closing instructions included with each mailpiece. Each mailpiece is prepared as it would be for mailing and subjected to a water spray as described in the test. A separate, untested mailpiece is used for each drop orientation: top, longest side, shortest side, and corner. The pass/fail criteria are: no rupture, cracking, or splitting of any primary receptacle, and no contents may penetrate into or through the body or lid of any primary receptacle.

5.Cold drop test. Five mailpieces filled with sharps or other regulated medical waste must withstand the test in 49 CFR 178.609f. Each test mailpiece is filled with sharps or other regulated medical waste to the vendor-identified maximum weight, not to exceed 25 pounds, as indicated on the outer shipping container and on the assembly and closing instructions included with each mailpiece. Each mailpiece is prepared as it would be for mailing and chilled as described in the test. A separate, untested mailpiece is used for each drop orientation: top, longest side, shortest side, and corner. The pass/fail criteria are: no rupture, cracking, or splitting of any primary receptacle, and no contents may penetrate into or through the body or lid of any primary receptacle.

6.Impact test. One mailpiece filled with sharps or other regulated medical waste must withstand the test in 49 CFR 178.609h. The test mailpiece is filled with sharps or other regulated medical waste to the vendor-identified maximum weight, not to exceed 25 pounds, as indicated on the outer shipping container and on the assembly and closing instructions included with each mailpiece. The mailpiece is prepared as it would be for mailing. The pass/fail criteria are: no rupture, cracking, or splitting of any primary receptacle, and no contents may penetrate into or through the body or lid of any primary receptacle.

7.Puncture-resistant test. Package testing results must show that during all of the previous tests, the contents did not penetrate through the primary receptacle.

8.Temperature test. Package testing results must show that each primary receptacle maintained its integrity when exposed to temperatures as low as 0°F and as high as 120°F.

9.Absorbency test. Package testing results must show that the primary receptacle(s) contain enough absorbent material to absorb three times the total liquid allowed within the primary receptacle in case of leakage. Absorbency is determined by pouring 150 ml of deionized water into the primary receptacle(s), then turning the receptacle(s) upside down and observing for any evidence of free liquid not absorbed on contact. Any evidence of free liquid is a failure.

10.Watertight test. Package testing results must show that no leakage occurred when 50 ml of deionized water was placed into the secondary containment system and the entire system turned upside down for 5 minutes.

g.Suspension of Authorization. The Postal Service may suspend a vendor's authorization based on information that a mailpiece no longer meets the standards for mailing sharps medical waste and regulated medical waste containers, or that the mailpiece poses an unreasonable safety risk to Postal Service employees or the public. The suspension can be made immediately, making the mailpiece nonmailable immediately. The vendor may contest a decision to suspend authorization by writing to the manager, Mailing Standards (see 608.8.0 for address), within 7 days from the date of the letter of suspension. The appeal should provide evidence demonstrating why the decision should be reconsidered. Any order suspending authorization remains in effect during an appeal or other challenge. When a vendor is notified that its authorization to mail sharps or other regulated medical waste containers has been suspended, the vendor must immediately:

1.Recall all identified containers.


2.Notify all customers that they cannot mail the identified containers.

3.Suspend sales and distribution of all identified containers.

4.Collect the identified containers from distributors, consumers, and the Postal Service without using the mail and in accordance with all federal and state regulations.

10.17.6 Packaging Used Health Care Products

A used health care product known or reasonably suspected to contain a Category A material is not mailable. A used health

care product not suspected to contain an infectious material, or that is known or suspected to contain a Category B

infectious substance, and is being returned to the manufacturer or manufacturer's designee is mailable as First-Class Mail,

Priority Mail, or Express Mail subject to the following packaging requirements:

a.Each used health care product must be drained of liquid to the extent possible and placed in a watertight primary receptacle designed and constructed to ensure that it remains intact under normal conditions of transport. For a used health care product capable of cutting or penetrating skin or packaging material, the primary receptacle must be capable of retaining the product without puncture of the packaging under normal conditions of transport. The primary receptacle must be marked with the international biohazard symbol as shown in Exhibit 10.17.5d3.

b.Each primary receptacle must be placed inside a watertight secondary container designed and constructed to ensure that it remains intact under normal conditions of transport. The secondary container must also be marked with the international biohazard symbol as shown in Exhibit 10.17.5d3.

c.The secondary container must be placed inside an outer shipping container with sufficient cushioning material to prevent movement between the secondary container and the outer shipping container. An itemized list of the contents of the primary receptacle and information concerning possible contamination with a Division 6.2 material, including its possible location on the product, must be placed between the secondary container and the outer shipping container. A shipping paper and a content marking on the outer shipping container are not required.



Sharps Disposal Guidelines Guía para el desecho de objetos punzantes \ Sharps should be placed into a container

immediately after use.

\ Do not attempt to remove, bend, break or recap the needle.

\ Keep all sharps and disposal containers

out of reach of children.

For more information, call:

Ventura County Environmental Health Division

805-654-5007

Improper disposal of used “sharps” (needles, syringes and

lancets) can injure:

\ children

\ home health care providers

\ sanitation workers

\ pets

El desecho inapropiado de objetos

punzantes contaminados (como agujas,

jeringas y lancetas) puede lastimar a:

\ niños

\ proveedores del cuidado de la salud en la hogar

\ empleados de la limpieza

\ animales

Now you have a safe solution! ¡Ahora contamos con una solución segura!

Bring your used sharps to the locations

listed on the back of this brochure for

proper and convenient disposal. Free

“Biohazard” rigid plastic sharps containers

are available at the collection facilities for

you to use at home.

For safety reasons sharps will NOT

Traiga sus objetos punzantes a las localidades

mencionadas abajo de este folleto, para

deshacerse de ellos apropiadamente y

convenientemente. Recipientes de plástico

gratis, para la colección de objetos contaminados

en el hogar, están disponibles en las localidades

de colección.

be accepted in: Por razones de seguridad, NO se aceptarán

objetos punzantes en Para más información comuníquese al:

Condado de Ventura, División de Salud Ambiental

805-654-5007

\ Objetos punzantes deberán ser colocados inmediatamete en envases de desecho, después de ser usados.

\ No trate de remover, doblar, quebrar ó

retapar las agujas.

\ Mantenga todos los objetos punzantes y los envases de desecho fuera del alcance de los niños.

\ liquid detergent bottles

\ bleach bottles

\ coffee cans

\ glass containers

\ milk jugs

\ soda bottles

Call Facilities for Sharps Collection Schedule

FOR HOME GENERATED SHARPS ONLY - NO BUSINESSES.

\ botellas de detergente líquido

\ botellas de cloro

\ latas de café

\ recipientes de vidrio

\ galones de leche

\ botellas de refresco

Para más información acerca de los horarios de colección, comuníquese con las

facilidades mencionadas en éste folleto. ESTE SERVICIO ES SOLAMENTE PARA PERSONAS QUE USEN OBJECTOS PUNZANTES EN EL HOGAR

- NO PARA NEGOCIOS.

Needle Collection Facilities Localidades de colección de agujas

Moorpark Moorpark Family Care Clinic

612 W. Spring Rd., Suite A 805-523-5400

Camarillo Camarosa Springs Medical Group

3801 Las Posas Rd. Suite 106 & B 805-477-2310

Santa Paula Santa Paula Clinic

1334 E. Main Street

805-933-1122

Simi Valley Sierra Vista Family Medical Clinic

1227 E. Los Angeles Ave.

582-4000

Don’t get stuck with used “sharps”

FREE containers and disposal for used

needles

Thousand Oaks Conejo Valley Family Med Group 125 W. Thousand Oaks Blvd, #300

Ojai Ojai Valley Hospital 1306 Maricopa Highway 805-640-2279 Appointment Required 8 am-4 pm only

Oxnard Las Islas Family Medical Group

2400 S. “C” Street 805-240-7000

Magnolia Family Medical Clinic 2240 E. Gonzales Road, Suite 100 805-981-5151 Oxnard Public Health, Suite 140 888-285-5012 Oxnard Public Health 2500 S. “C” Street, Suite B1 981-5221 888-285-5012

Las Islas Urgent Care 325 W. Channel Island Blvd. 805-483-0198

805-418-9100

Los Robles Hospital

215 West Janss Road

805-370-4407

Ventura

West Ventura Medical Clinic

133 West Santa Clara Street

805-641-5600

Some household hazardous waste collection sites accept home generated sharps from area residents. Check the following link for information on locations: http://vcpublicworks.org/water-sanitation-department/household-hazardous-waste

No te piques con jeringas o agujas usadas Recipientes

GRATIS para el desecho de agujas usadas

Brought to you by:

The County of Ventura Environmental Health Division and local medical facilities

Pick up your free “BIOHAZARD” at these

locations. Take it home. When it is 3/4 full, return it

for proper disposal and pick up a new container.

Recoja su envase gratis en estas localiades. Llévelo

a su casa. Cuando el envase esté 3/4 lleno,

regréselo para desecharlo propiamente.

http://www.wasteless.org/

PHARMACEUTICAL DROP-OFF LOCATIONS FOR RESIDENTS ONLY

HOSTED BY VENTURA COUNTY SHERIFF’s DEPARTMENT

& CITY LAW ENFORCEMENT AGENCIES

Unwanted or Expired Medication Only

No Sharps (needles) or Other Medical Waste

Contact Ventura County Environmental Health Division for Sharps

Disposal Information at (805) 477-7110 or Check Web Link:


LOCATION ADDRESS HOURS ACCEPTABLE

MATERIAL

West County

Patrol Station

(Headquarters)

(805) 654-2315

800 S.

Victoria

Ave.,

Ventura,

CA 93009

Monday –

Friday

8AM – 5PM

Unwanted or

Expired

Medication

Only

Camarillo

Patrol Station

(805) 388-5100

3701 E.

Los Posas

Rd.,

Camarillo,

CA 93010

Monday –

Friday

8AM – 5PM

Unwanted or

Expired

Medication

Only

Fillmore

Patrol Station

(805) 524-2233

524 Sespe

Ave.,

Fillmore,

CA 93015

Monday –

Friday

8AM – 5PM

Unwanted or

Expired

Medication

Only

Moorpark

Patrol Station

(805) 532-2700

610 Spring

Rd.,

Moorpark,

CA 93021

Monday –

Friday

8AM – 5PM

Unwanted or

Expired

Medication

Only

Ojai Patrol

Station

(805) 646-1414

402 S.

Ventura

St., Ojai,

CA 93023

Monday –

Friday

8AM – 5PM

Unwanted or

Expired

Medication

Only

Simi Valley

Police Station

(805) 583-6950

3901

Alamo St.,

Simi

Valley, CA

93063

24 Hours

per Day - 7

Days per

Week

Unwanted or

Expired

Medication

Only

Thousand Oaks

Police Station

(805) 494-8260

[email protected]

2101 E.

Olsen Rd.,

Thousand

Oaks, CA

91360

Monday –

Friday

8AM – 5PM

Unwanted or

Expired

Medication

Only

Unwanted or expired Medication, Except for Controlled Substances, Can Also

Be Disposed of at Your Local Household Hazardous Waste Facility. See

http://vcpublicworks.org/water-sanitation-department/household-hazardous-waste for more information.

mailto:[email protected]?subject=Pharmaceutical%20Waste%20Disposal

http://www.deadiversion.usdoj.gov/schedules/index.html

http://vcpublicworks.org/water-sanitation-department/household-hazardous-waste

State of California—Health and Human Services Agency

California Department of Public Health

EDMUND G. BROWN JR. KAREN L. SMITH, MD, MPH

Governor Director and State Public Health Officer

REGISTERED MEDICAL WASTE TRANSPORTERS

LIST PUBLICATION DATE: April 13, 2018

*REVISED LIST - ONLY LATEST VERSION IS VALID*

Medical Waste Management Program ● PO Box 997377 ● MS 7405 ● Sacramento, CA 95899-7377

Medical Waste Management Program cdph.ca.gov/medicalwaste

COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

ACTION RESOURCES 5184 40 COUNTY ROAD 517 HANCEVILLE, AL 35077 256-352-7082

ADVANCED CHEMICAL

TRANSPORT 4026 1210 ELCO DR SUNNYVALE 94089 760-489-5600

AEMERGE REDPAK 6606 9600 E ST HESPERIA 92345 760-810-5498

ALL-BIO CENTER WASTE

MANAGEMENT, INC. 6380 3370 S FLORENCE AVE, STE B

HUNTINGTON

PARK 90255 626-841-0818

ALL CLEAN 6275 21 GREAT OAKS BLVD SAN JOSE 95119 408-363-3678

1

https://www.cdph.ca.gov/Programs/CEH/DRSEM/Pages/EMB/MedicalWaste/MedicalWaste.aspx

CDPH - Medical Waste Management Program Current as of April 13, 2018

COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

ALLIED MEDICAL WASTE 6199 11870 COMMUNITY RD, #215 POWAY 92064 858-486-8200

ALPHA ENVIRONMENTAL

ENGINEERING AND

CONSTRUCTION

6406 P.O. BOX 77536 CORONA 92877 951-545-7374

ALTIUS MEDICAL 5868 1 JUSTIN CT MONTEREY 93940 831-656-9101

AMERICAN INTEGRATED

SERVICES, INC. 4523 P.O. BOX 92316 LONG BEACH 90809 310-522-1168

AMERICAN TEXTILE

MAINTANENCE COMPANY 6361 1667 W WASHINGTON BLVD LOS ANGELES 90007 800-464-6334

ANCON MARINE 855 2250 E. DOMINGUEZ CARSON 90810 562-326-5912

ARKA MEDICAL INC 6254 10621 VALLEY SPRING LN,

#108

NORTH

HOLLYWOOD 91602 800-519-1988

ATI 5131 28358 CONSTELLATION RD,

#640 VALENCIA 91355 877MEDWASTE

AVALON FREIGHT SERVICES 6465 40 PEBBLY BEACH RD AVALON 90707 310-221-6290

B&B ENVIRONMENTAL SAFETY 5482 17416 MURPHY PKWY LATHROP 95330 209-858-5806

505-662-0706

BARNETT SURGICAL SUPPLY 4891 30139 INDUSTRIAL PKWY, #C HAYWARD 94544 510-429-9911

BIOLOGIC ENVIRONMENTAL

SERVICES & WASTE SOLUTIONS 6069 23490 CONNECTICUT ST HAYWARD 94545 510-265-1900

2


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

BIOMEDICAL WASTE DISPOSAL -

SUN VALLEY 5976 12930 VENTURA BLVD, #915 STUDIO CITY 91604 877-644-2424

BIOWASTE INC. 6082 5618 VAN NUYS BLVD VAN NUYS 91401 818-543-7504

BIOWASTE RESOURCES, LLC 6348 P.O. BOX 2339 MCKINLEYVILLE 95519 707-445-0500

BLACK GOLD INDUSTRIES, INC. 570 527 N. RICE AVE OXNARD 93030 805-981-4616

BURNS & PARTNERS INC. 6274 19360 RINALDI ST, STE 381 NORTHRIDGE 91326 800-893-4893

CITY OF FOLSOM, HAZMAT

DIVISION 3736 50 NATOMA ST FOLSOM

95630 916-355-9361

CLEAN HARBORS ENVIRON.

SVCES. 3500 1021 BERRYESSA SAN JOSE 95133 408-441-0962

COASTAL WASTE 6325 4231 BALBOA AVE, STE 111 SAN DIEGO 92117 619-363-2290

CRIME SCENE CLEANERS, INC. 6382 PO BOX 792 ORINDA 94563 800-357-6731

CRIME SCENE STERI-CLEAN 5844 9716 SIXTH ST RANCHO

CUCAMONGA 91730 888-577-7206

CS & FD MEDICAL WASTE

DISPOSAL 5581 P.O. BOX 3851 CLOVIS 93613 559-367-3600

CVC ENVIRONMENTAL, INC. 3797 P.O. BOX 20448 BAKERSFIELD 93390 661-588-8187

3


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

DANIELS SHARPSMART, INC. 4707 135 S LA SALLE ST, STE 2850 CHICAGO, IL 60603 888-937-6464

DILLARD ENVIRONMENTAL 1715 P.O. BOX 579 BYRON 94514 925-634-6850

E WASTE DISPOSAL, INC 5948 19782 MACARTHUR BLVD, #250 IRVINE 92612 949-466-8857

ECO COMPLIANCE

CORPORATION 6377 35 MILLER AVE, #195 MILL VALLEY 94941 855-525-2005

ECO MEDICAL 6203 1749 ALAMAR WAY FORTUNA 95540 707-498-7955

EFFICIENT X-RAY, INC. 2877 9650 TOPANGA CYN PL CHATSWORTH 91311 818-882-8897

ELLIS ADULT DAYCARE 6569 12923 DOTY AVE, #2 HAWTHORN 90250 213-401-8136

EMERGENCY RESPONSE CRIME

SCENE 5660 220 KRUSE AVE MONROVIA 91016 866-305-9001

ENVIRONMENTAL & CHEMICAL

CONSULTING 6225 P.O. BOX 3263 CRESTLINE 92325 909-714-2095

ENVIRONMENTAL

CONTRACTORS

TRANSPORTATION, INC (ETCI)

3731 P.O. BOX 7318 SAN BERNARDINO 92411 909-884-7424

ENVIRONMENTA DYNAMICS, INC. 2597 621 W ROSENCRANS AVE, #33 GARDENA 90248 310-527-6242

4


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

ENVIRONMENTAL LOGISTICS 5508 140 W. MONTE AVE BLOOMINGTON 92316 909-546-1354

ENVIROPROS, INC. 6242 2273 S VISTA AVE, UNIT 3C BLOOMINGTON 92316 919-620-8594

ESTRATEGY CONSULTING LLC 6138 4500 ANAHEIM AVE, STE A ALBUQUERQUE,

NM 87113 505-856-4000

EXPRESS OIL CO. 1056 21601 PARTHENIA ST CANOGA PARK 91304 818-700-7996

FAMILY PET MORTUARY 6096 220 N. FIRST ST TURLOCK 95380 209-250-0114

FREMOUW ENVIRONMENTAL

SERVICES 3544 P.O. BOX 2875 VACAVILLE 95696 530-795-4337

GLYCON, LLC 6471 1146 N CENTRAL AVE, STE 222 GLENDALE 91202 844-494-8222

G.P.B LOGISTICS, LLC 6399 2115 W FARWELL AVE, STE

103 CHICAGO, IL 60645 773-829-2432

GREENFIELD LOGISTICS, LLC 6121 491 E RIVERSIDE DR, STE 4A ST. GEORGE 84790 801-676-1575

H2O ENVIRONMENTAL 4229 3510 BARRON WAY RENO, NV 89511 775-351-2237

HAZ-MAT SERVICES, INC. 3724 4661 AVOCADO AVE YORBA LINDA 92886 714-779-1053

HAZ-MED, INC. (VENTURA WASTE

MGMT) 3456 245 QUAIL CT SANTA PAULA 93060 800-952-2909

5


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

HCI ENVIRONMENTAL &

ENGINEERING 5464 114 BUSINESS CENTER DR CORONA 92880 951-280-0298

HEALTHWISE SERVICES, LLC 6070 4800 E LINCOLN AVE FOWLER 93625 559-834-3333 ext.

105

HERITAGE TRANSPORT, LLC 3051 1626 RESEARCH WY INDIANAPOLIS, IN 46231 317-381-6844

HOSPICE CARE OF THE COAST 6619 215 S HICKORY ST, STE 104 ESCONDIDO 92025 760-394-3422

INDUSTRIAL WASTE UTILIZATION 816 5601 STATE ST MONTCLAIR 91763 909-984-9984

INGENIUM GROUP LLC 4857 893 AMES AVE MILPITAS 95035 408-885-9575

KVAC ENVIRONMENTAL

SERVICES INC. 3613 P.O. BOX 1505

RANCHO

CUCAMONGA 91729 909-476-2308

LULA LOGISTICS INC. 6436 8268 NELSON RIDGE LN LAS VEGAS, NV 89178 352-346-6219

LOGIX ENVIRONMENTAL INC. 6455 PO BOX 10446 BURBANK 91040 800-608-4846

JDS MEDWASTE MANAGEMENT

ENVIRONMENTAL SERVICES 6087 4200 PARK BLVD, #148 OAKLAND 94602 510-357-8924

KARL MAJORS, LLC 6360 713 36-1/1- RD PALISADE, CO 81526 970-985-8442

KOEFRAN INDUSTRIES 3057 P.O. BOX 276424 SACRAMENTO 95827 916-361-0911

6


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

L&H CONSULTING, INC. 2486 245 QUAIL CT SANTA PAULA 93060 805-647-5775

MARINE EXPRESS 3834 2900 MAIN ST, #3013 ALAMEDA 94501 510-523-8900

MED CYCLE SYSTEMS 6232 P.O. BOX 4164 CHATSWORTH 91311 866-633-7366

MEDASEND BIOMEDICAL, INC. 6146 11258 MONARCH ST, UNIT C GARDEN GROVE 92841 800-200-3581

MEDICAL BIOWASTE SOLUTIONS 6637 23322 PERALTA DR, STE 3 LAGUNA HILLS 92653 714-600-0739

MEDICAL ENVIRONMENTAL

TECHNOLOGIES (MET) 6097 9921 CARMEL MOUNTAIN RD SAN DIEGO 92129 619-448-2000

MEDICAL WASTE ENV.

ENGINEERS (MWEE) 3212

221 TOWN CENTER WEST,

#101 SANTA MARIA 93454 805-925-6633

MEDICAL WASTE SERVICES, LLC 5940 7202 PETTERSON LN PARAMOUNT 90723 888-610-1311

MEDIWASTE DISPOSAL 6037 P.O. BOX 6579 CORONA 92878 323-680-0012

MEDPRO DISPOSAL 6263 75 EXECUTIVE DR, SUITE 202 AURORA, IL

60504 847-794-1004

MED TRUST 6381 7250 BANDIDNI BLVD, UNIT 111 COMMERCE

90040 877-573-2224

MED WASTE LA 6488 1506 FIFTH ST GLENDALE

91201 855-WASTE-MD

7


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

MEDWASTE CALIFORNIA, LLC 6308 P.O. BOX 22840 OAKLAND 94609 510-267-0134

MEDWASTE MANAGEMENT, LLC 5633 155 S. ALTA VISTA BLVD LOS ANGELES 90036 323-244-3014

MEDWASTE SYSTEMS 5039 9919 CANOGA AVE #20 CHATSWORTH 91311 818-998-5533

MONTEREY ENVIRONMENTAL

SOLUTIONS & SERVICES 6365 395 DEL MONTE #147 MONTEREY 93940 831-915-1428

NAPA COUNTY RECYCLING AND

WASTE SERVICES 6512 820 LEVITIN WY NAPA 94503 707-255-5200

NORTH STATE ENVIRONMENTAL 539 220 S SPRUCE AVE S. SAN

FRANCISCO 94080 650-588-2838

NRC ENVIRONMENTAL SERVICES 5158 1605 FERRY POINT ALAMEDA 94501 510-749-1390

OCEAN BLUE ENVIRONMENTAL 3354 925 W ESTHER ST LONG BEACH 90813 562-624-4120

ONCORE TECHNOLOGY 6283 2641 E SPRING ST LONG BEACH 90806 972-786-7060

PACIFIC MEDICAL WASTE 6286 600 S MAIN ST TOLLESON, AZ 85353 602-305-8888

PACIFIC TRANS ENVIRONMENTAL

SVC 2831 1452 N. JOHNSON AVE EL CAJON 92020 619-441-1818

PACIFIC TUGBOAT SERVICE 6516 1444 CESAR E CHAVEZ PKWY SAN DIEGO 92113 619-577-2098

8


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

PARC ENVIRONMENTAL 2908 P.O. BOX 10077 FRESNO 93745 559-233-7156

PATRIOT ENVIRONMENTAL 335 508 EAST E ST, STE A LONG BEACH 90744 562-436-2614

PATTERSON DENTAL SUPPLY 4092 13208 ESTRELLA AVE. #F GARDENA 90248 310-426-3100

PESCO (EXPIRED PHARMS ONLY) 5174 P.O. BOX 231037 SACRAMENTO 95823 916-971-8150

PHILIP WEST INDUSTRIAL

SERVICES 3259 4394 ENTERPRISE PL FREMONT 94538 800-321-1030

PHOENIX BIOMEDICAL

SOLUTIONS 5861 16025 ARROW HWY, STE C BALDWIN PARK 91706 626-807-5825

PHOTO WASTE RECYCLING

COMPANY, INC. 2049 2980 KERNER BLVD, STE C SAN RAFAEL 94901 415-459-8807

PRECISION BIOWASTE

SERCICES, INC. 6638 5111 TASMAN DR

HUNTINGTON

BEACH 92649 714-472-0349

PRIMA WASTE MANAGEMENT,

INC. 6106 12401 WOODRUFF AVE, STE 10 DOWNEY 90241

562-246-1250

(855) 684-9487 TF

PRIME MEDICAL DISPOSAL LLC 6433 P.O. BOX 22755 BAKERSFIELD 93390 661-588-8187

RELIABLE MEDICAL WASTE 6356 867 S. ASHFORD AVE BLOOMINGTON 92316 909-549-0745

REPUBLIC ENVIRONMENTAL

SOLUTIONS 6359 P.O. BOX 92365

CITY OF

INDUSTRY 91715 805-927-8321

9


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

RYNOCARE - NEVADA BY

PRODUCTS 6288 P.O. BOX 2344 SPARKS, NV 89432 916-363-4821

SAN BERNARDINO COUNTY FIRE

DEPT 1676 2824 EAST "W" ST SAN BERNARDINO

92415 909-382-5401

SAN DIEGO MEDICAL WASTE

SERVICES 6349

9520 CHESAPEAKE DR, STE

608 SAN DIEGO

92123 619-990-4604

SHARPS SOLUTIONS LLC 5997 3563 INVESTMENT BLVD, #6 HAYWARD 94545 877-446-8449

SHARPSCYCLE 5963 P.O. BOX 7078 LAGUNA NIGUEL 92607

646-494-5901

SINGH GROUP INC. dba BAJA

PACIFIC 4695 1308 DESCANSO AVE SAN MARCOS 92069 760-213-5462

SMITH SYSTEMS 3406 2720 N. 10TH ST SCOTTSBLUFF, NE 69341 800-897-5571

SOUTHERN CALIF. COURIERS,

INC. 5930 5476 AURELIA ST SIMI VALLEY 93063 805-526-3354

SSO MEDICAL WASTE

MANAGEMENT 5831 3720 CAMPUS DR, #E NEWPORT BEACH 92660 949-756-9090

STARLITE RECLAMATION

ENVIRON. 3164 11225 MULBERRY AVE FONTANA 92337 800-576-9278

STERICYCLE, INC. 3400 2775 EAST 26TH ST VERNON 90023 323-362-3000

STERICYCLE SPECIALTY WASTE

SOLUTIONS, INC. 5791 2850 100TH COURT NE BLAINE, MN 55449 612-285-9865

10


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

STRATEGIC ENVIRONMENTAL 5568 2301 EAST ANAHEIM ST WILMINGTON 90744 310-629-8603

SUMMIT ENVIRONMENTAL

SERVICES, INC. 6248 7071 WARNER AVE, F535

HUNTINGTON

BEACH 92647 866-448-3934

SUN ENVIRONMENTAL 2607 P.O. BOX 6877 TORRANCE 90504 310-618-6440

SUPERIOR MEDICAL WASTE 6324 269 S ARROWHEAD AVE SAN BERNARDINO 92408 800-973-4430

THERMAL COMBUSTION

INNOVATORS (TCI) 1431 241 W LAUREL ST COLTON 92324 909-370-0730

TRI VALLEY MEDICAL SOLUTIONS 6335 3187 E. COMMERCE AVE FRESNO 93725 559-237-1800

TRI-STATE MOTOR TRANSIT CO

(dba of Bed Rock, Inc.) 4427 P.O. BOX 113 JOPLIN, MO 64802 417-624-3131

TSM RECOVERY & RECYCLING 1599 317 EUBANK AVE, #2 WILMINTON 90744 323-735-9443

UNITED TRANSPORT SERVICES

INC. 6495 6750 BLACK FOREST DR CORONA 92880 844-258-2262

VEOLIA ES TECHNICAL SERVICES 3424 1 EDEN LN FLANDERS, NJ 07836 626-815-2220

WASTE ABATEMENT

RESOURCES 2912 2462 ATLAS PEAK RD NAPA 94558 707-258-0315

WASTE MANAGEMENT

HEALTHCARE SOLUTIONS 5688 4280 BANDINI BLVD VERNON 90058 800-364-9693

11

No Data No Data No Data No Data No Data


COMPANY REG.

NO ADDRESS CITY

ZIP

CODE PHONE

WEST COAST BIO-TECH, INC. 6316 P.O. BOX 2306 FRESNO 93745 559-237-2710

WEST COAST ENVIRONMENTAL

SOLUTIONS 6000 2694 LIME AVE SIGNAL HILL 90755 562-244-1211

WESTERN ENVIRONMENTAL

SERVICES, INC 3349 P.O. BOX 1375 GLENDORA 91740 626-335-1066

WORLDWIDE RECOVERY

SYSTEMS, INC. 4246 2308 POMONA BLVD POMONA 91768 626-536-4240

WM CURBSIDE, LLC 5964 5101 E LA PALMA AVE #206 ANAHEIM 92807 512-356-8689

End of Worksheet

12

Blank

State of California—Health and Human Services Agency

California Department of Public Health

Alternative Medical Waste Treatment Technologies Effective Date: April 18, 2018

The technologies listed below have been approved by the Department of Public Health to treat medical waste in California. Please review

the information provided to verify the approved uses of each technology. Individuals interested in the products described in this document

are encouraged to contact the company directly. Alternative Technology Approval is based solely on a product’s demonstration of pathogen

destruction. Use of the technologies may require permitting for on-site or off-site medical waste treatment. Permitting of onsite facilities is

Waste Management Act. Permitting of offsite facilities is addressed in 118130.

Company Technology Address Telephone Web Site Approved for

Aemerge ® Carbonizer ®

Corporate HQ

338 S. Arlington Ave

Ste 250

Indianapolis, IN 46219

317-437-8647 www.aemerge.com all medical waste

AMB Ecosteryl Ecosteryl 125 & 250

1010 Sherbrooke West

Ste 1800

Montreal, QC, CAN

514-286-1458 www.ecosteryl.net red bag/sharps/path

BioSAFE Engineering

WR² Tissue Digestor (11-10K

lbs.)

485 Southpoint Cir

Ste 200

Brownsburg, IN 46112

317-858-8099 www.biosafeengineering.com pathology waste

BioSAFE Engineering STI Series 2000

485 Southpoint Cir

Ste 200

Brownsburg, IN 46112

317-858-8099 www.stibiosafe.com red bag/sharps

Clean Waste Systems, OMW-1000

3535 Plymouth Blvd

Ste 112 763-559-9277 www.cleanwastesystems.com red bag/sharps/path

LLC.

Ecodas Corp. T300, T1000, T2000

32 Birch Crescent

Ste 3

Rochester, NY 14807

917-855-6621 www.ecodas.com red bag/sharps

Honua Technologies Pyrolytic Destructor

500 Ala Moana

Ste 7-220

Honolulu, HI 96813

401-480-7950 all medical waste

Page 1 of 3

http://www.aemerge.com/

http://www.ecosteryl.net/

http://www.biosafeengineering.com/

http://www.stibiosafe.com/

http://www.cleanwastesystems.com/

http://www.cleanwastesystems.com/

http://www.ecodas.com/

Blank

Blank Blank Blank


InEnTec Medical

Services, LLC

Plasma Enhanced

Melter

1935 Butler Loop

Richland, WA 99352 509-946-5700 www.inentec.com all medical waste

Intellergy Corp. Synthetica Detoxifier

Process

1400 Hall Ave

Point Richmond, CA 510-837-6200 www.intellergy.com red bag/sharps

Matthews International Bio-Cremator S750 2045 Sprint Blvd

Apopka, FL 32703 407-886-5533 www.matthewscremation.com human remains

Medical Innovations,

Inc. TAPS

P.O. Box 148

Wayland, MA 01778 508-358-8099

www.medicalinnovationsinc.c

om/sharps.html sharps

Medical Waste

Services, LLC CoronaLux™

7321 Quimby St

Paramount, CA 90723 888-610-1311 www.mws-1.com/ all medical waste

North American Power Thermal Recovery

Unit (TRU)

3471 W. Oquendo Rd

Ste 102

Las Vegas, NV 89119

702-270-9543 www.napower.com all medical waste

Oncore Technology,

LLC

MWP-2750 and

4000

2613 Skyway Dr

Grand Prairie, TX 75052 877-786-7060 www.oncoreus.com red bag/sharps/path

OnSite Waste

Technologies, Inc.

Thermal Eliminator

TE-5000

9 North Main St

East Hampton, NY 11937 914-886-3958 red bag/sharps

Ozonator Industries

Ltd. Ozonator NG-1000

P.O. Box 26030

1850 Industrial Dr

Regina, SK, S4R 8R7,

CAN

306-791-0900 www.ozonatorindustries.com red bag/sharps/path

PEAT International PEAT System 555 Skokie Blvd

Northbrook.IL 60062 847-559-8567 www.peat.com all medical waste

PMA Services, Inc. MedClean-M red bag/sharps

Progressive Recovery, Thermal Treatment

Digester (TTD)

700 Industrial Dr

Dupo, IL 62238 800-732-3793

www.progressive-

recovery.com pathology waste

Inc.

Red Bag Solutions Solutions SSM-150

3431 Benson Ave

Ste 100

Baltimore, MD 21227

877-973-3224 www.redbag.com red bag/sharps

Sanitec HG-A-100 & HG-A-

250

4535 W. Valerio St

Burbank, CA 91505 818-565-5566 www.sanitecind.com red bag/sharps/path

Page 2 of 3

http://www.inentec.com/

http://www.inentec.com/

http://www.intellergy.com/

http://www.matthewscremation.com/

http://www.medicalinnovationsinc.com/sharps.html

http://www.medicalinnovationsinc.com/sharps.html

http://www.mws-1.com/

http://www.mws-1.com/

http://www.napower.com/

http://www.oncoreus.com/

http://www.oncoreus.com/

http://www.ozonatorindustries.com/

http://www.ozonatorindustries.com/

http://www.peat.com/

http://www.progressive-recovery.com/

http://www.progressive-recovery.com/

http://www.redbag.com/

http://www.sanitecind.com/

Blank

Blank

Blank Blank

Blank Blank Blank Blank Blank


Stericycle, Inc. Electro-Thermal

Deactivation

2716 N. Keith Dr

Lake Forest, IL 60045 847-607-2070 www.stericycle.com red bag/sharps

SteriMed Medical

Waste Solutions, Inc. Sterimed

23065 Commerce Dr

Farmington Hills, MI

48335

248-469-8780 www.sterimedsystems.com red bag/sharps

Steris Corporation EcoCycle 10

Processor

9450 Pineneedle Dr

Mentor, OH 44060 216-354-2600 www.steris.com red bag

Tempico, Inc. Rotoclave 1700 W. Church St

Hammond, LA 70401 985-429-9929 www.tempico.com red bag/sharps

Trinova Medical Waste

Solutions, LLC

Monarch Green

Machine / Envetec

235 Jason Ct

Corona, CA 92879 800-787-1704 red bag/sharps

United Recycling

Technology, Inc.

Gasification System

(Gasf)

6230 Mayfield Ave

La Crescenta, CA 91213 818-957-2821 all medical waste

WCM

Isolyser Sharps

Management

System (SMS)

6054 Corte Del Cedro

Carlsbad, CA 92009 866-436-9264 www.wcminc.net

Sharps: Approved

for the treatment of

all sharps, except

sharps used to

aspirate biological

fluids.

MedPro, Inc. Needlyzer Lexington, KY sharps

End of Worksheet

Page 3 of 3

http://www.stericycle.com/

http://www.sterimedsystems.com/

http://www.sterimedsystems.com/

http://www.steris.com/

http://www.tempico.com/

http://www.wcminc.net/