Wednesday, March 9, 2016

I found out what type of waste Classification I am considered as at a landfill or waste disposal facility. Read more in this post

I got a call back on Monday from CDPHE (Colorado Department of Public Health and Environment) 




and the woman I have talked to extensively.... Miss Karen.....and SHE informed me of the TYPE of "Waste" or "Trash" I am classified under: SHE, the state of Colorado, EPA, and CDPHE define ME alive OR dead as "Untreated Medical Waste" (Interesting you say...) 

The Article below DOES state that NOT ALL untreated medical waste HAS to be "Treated" to be accepted at a landfill! NOW....I called the     San Luis Valley Regional Landfill in Monte Vista Colorado


and After I talked with the Manager, I got to record the call with the         scale-house attendant. Karen, at the CDPHE, called them on Thursday March 3rd, 2016 and told the manager there that I am classified as "Untreated Medical Waste" of which they CAN accept....IF they so CHOOSE to AND if their "Waste Acceptance plan" states that they can accept that type of trash/waste. 
Now, according to that landfill's OWN "waste Acceptance Plan" as OUTLINED by their PDF files available on THEIR website, THIS is how it reads: 

SLVRSWA 

WASTE CHARACTERIZATION and ACCEPTANCE PLAN  

I.  INTRODUCTION 

It is the policy of The San Luis Valley Regional Solid Waste Authority (SLVRSWA) that all requests for disposal of nonhazardous industrial and special waste will be evaluated and approved by SLVRSWA manager using guidelines set up by The Authority Board in the Industrial and Special Waste Management Plan. This waste characterization and acceptance plan additionally meets the requirements of 6 CCR 1007-2, Part 1.(See bottom of page) The regulations pertaining to solid waste sites and facilities (the “Regulations”) for waste acceptance criteria pursuant to Section 2.1 while modifying the approved April 1994 Engineering Design and Operation Plan which limited the San Luis Valley Regional Landfill (the “Landfill”) to acceptance of only “…non-liquid, municipal (and possibly commercial and construction demolition debris) solid waste…” The objective of the policy is to protect our employees, the public health and safety, and the environment in and around the landfill.  This industrial and special waste management plan defers to definitions pursuant to the Regulations including, but not limited to, definition for “Industrial Waste” presented below. Furthermore, the landfill proposes a definition for “Special Waste” as follows: 

“Industrial wastes” means all solid wastes, including mill tailings and mining wastes, resulting from the manufacture of products or goods by mechanical or chemical processes that are not a hazardous waste regulated under the regulation 6 CCR 1007-3,of the Colorado Hazardous Waste Regulations and may include, but is not limited to, construction and demolition debris, and waste resulting from the following manufacturing processes: electric power generation; fertilizer/agricultural chemicals; food and related products/by products; inorganic chemicals; iron and steel manufacturing; leather and leather products; nonferrous metals manufacturing/foundries; organic chemicals; plastics and resins manufacturing; pulp and paper industry; rubber and miscellaneous plastic products; stone, glass, clay, and concrete products; textile manufacturing; transportation equipment; and water treatment. This term does not include oil and gas wastes regulated by the Colorado Oil and Gas Conservation Commission.  

 “Special waste” means a solid waste which may require chemical analysis or paint filter test (EPA Method 9095B) to assure materials do not contain free liquids prior to acceptance and which may require special handling or special disposal procedures.  Special wastes include, but are not limited to: non-friable asbestos, bulk tires or other bulk materials, biomedical waste, waste water treatment bar screenings, household and conditionally exempt hazardous waste and contaminated soil. Certain items require special handling procedures which are listed below with those specific procedures.  

II.  NOTIFICATION PROCEDURE: 

Notification of Industry, Haulers and General Public of SLVRSWA Industrial and Special Waste Management Plan:  Notification of the adoption of the plan will be made thru area newspapers and radio.  Copies will be sent to all six counties in the SLV and to all municipalities using the facility.  All commercial haulers will also be sent copies.  A sign clearly visible to all users of the facility will be posted at the fee collection building and it will state that “Hazardous Waste is not accepted at this facility”. Information on the SWMP can be obtained at the fee collection building.     
Waste Characterization & Acceptance Plan doc Revised 06/2015  

SPECIAL WASTE MANAGEMENT PLAN IN EFFECT 

Includes following wastes: 

1. Empty triple-rinsed containers
2. Animal mortalities and animal wastes
3. Tires
4. Wire and other metals
5. Hardened or dried paint residue
6. Petroleum contaminated soils
7. Nonfriable asbestos
8. Medical waste
9. Bar screening from water treatment plants   

Summary of Special Waste Items 

 Empty Triple-Rinsed Containers- containers must be treated as listed in this WCP with the exception of regular household hazardous waste containers which are exempt and can be disposed of with regular household trash.  

Animal Mortalities and Animal Waste- animal mortalities & waste disposal will follow the guidelines set up by the Colorado Department of Agriculture and the CDPHE under Pre-approved Management Practices. Any event with greater than 10 mortalities will require pre-approval in writing from the HMWM Division. Normal animals and waste will be disposed of in a special location for that purpose and include immediate cover of the waste at that location.  

Tires- the SLVRSWA is a registered Tire Collection and End User facility with the State of Colorado. The landfill will accept tires in accordance with the rules set forth in the 6 CCR 1007-2, Part 1, section 16.4.1 and Waste Tire regulations section 10, 10.6 and 10.7. The tires will be collected in a specific area other than the working face of the landfill. The tires will be baled or shredded and used for Alternative Daily Cover once the required amount is collected.   

Wire and other metals- all metals will be separated from the working face and loaded into a roll off unit at the site for the purpose of recycling the metal. White metals and refrigerators or other CFC items depleted of CFCs and red tagged. The container will be taken off site for the disposal of the metal at a recycling location.  

Hardened or dried paint material- All paints, satins, varnishes, and associated products will not be accepted unless the product is in a dried form. No free liquids are accepted at the landfill.  

Petroleum Contaminated Soils- PCS exceeding the industrial standards in accordance with the EPA Regional Screening Levels (RSL) tables cannot be accepted. All PCS will have to be tested under the SLVRSWA WCP guidelines before there is an accepting or rejection document initiated for the waste.   

Asbestos- only non-friable asbestos will be accepted at the SLVRSWA landfill. The acceptance of the non-friable asbestos must meet the requirement of 6 CCR 1007-2, Part 1, section 5 Asbestos Part 5.2. The material shall be delivered in a non-exposing container with proper labeling and placed in the landfill as set forth in the requirements and covered with a minimum of 9 inches of soil immediately.
Waste Characterization & Acceptance Plan doc Revised 06/2015  
Medical Waste-this type of waste will be accepted as long as it meets the requirements of 6 CCR 10072, Part 1, Section 13. The waste must be clearly identified as treated infectious waste and has been treated to render it non-infectious. The waste will be handled with special precaution at the site and covered immediately with a minimum of 9 inches of soil to assure protection of employees and public health.   
 Bar Screenings from water treatment plant- bar screenings will be accepted as long as they meet the requirements of the paint filter test (EPA Method 9095B) to assure materials do not contain free liquids in accordance with 6 CCR 1007-2, Part -2 Part 1, Section 2.1.14. Materials passing test will be placed in the working face and immediately covered to assure protection of employees and public health.  
PROHIBITED WASTES 

1. Hazardous waste
2. Radioactive waste
3. Toxic, corrosive, reactive and Ignitable waste
4. Polychlorinated Biphenyl (PCB) waste
5. Cathode ray tubes (CRTs), Central processing units, Computer key boards, VCRs from non-residential sources cannot be accepted at the land fill.
6. Effective July 1st 2013 no electronic item of any kind will be accepted at the landfill as determined by Senate bill 12-133 and defined by Regulation pursuant to Sections 1.2 and 16.5 of 6 CCR 1007-2, Part 1.
7. Waste containing free liquids
Copies of the Waste Characterization Plan (WCP) will be available in the Office.  
III. WASTE EVALUATION PROCEDURE:  
A. Special handling facilities are in place at the site for handling the following special wastes, animal mortality and animal products, tires, wire, and scrap metal.  No special authorization is needed.   Hauler must check in at fee collection point for dumping instructions and must have these wastes separated from all other wastes.
B. EVALUATING WASTE CHARACTERISTICS:
When an initial contact has been made by an industrial or special waste generator, indicating interest in utilizing the SLVRSWA Landfill for the disposal of a non-hazardous industrial or special waste, (he/she) receives a copy of the facilities procedures for the acceptance and disposal of non-hazardous industrial or special waste (Special Waste Management Plan).  The plan identifies the information and analysis that must be provided for review and consideration prior to the approval of the waste for disposal. C. REQUIREMENTS BY THE Waste Characterization Plan (WCP) As required by The WCP, a Generator’s Waste Profile Sheet (GWPS Attachment B) must be completed in its entirety and signed by the generating agency’s authorized representative (individual or company).  The GWPS requests detailed information concerning the physical and chemical properties of the waste as well as certification from the generator that the information provided is complete and accurate.
1.  The physical characteristics of the generators waste is evaluated through the process of an on-site observation conducted by the Manager of the facility.  The on-site evaluation is done to ensure that the physical properties of the waste are compatible with the facility’s design and operations.
2. The chemical characteristics of the generators waste can be evaluated through the use of several analytical testing procedures.  The types of information and various tests SOMETIMES requested are: –Material Safety Data Sheets; --Chemical Composition Analysis; --Toxicity Characteristics Leaching Procedure (TCLP) Test Results; --Paint Filter Liquids Test results; (EPA Method 9095B) --Landfill compatibility (RCI) results; 
-- (BTEX) EPA Method 8021 for diesel and gas; -- (TPH) EPA Method 8015 GRO for gasoline; -- (TPH) EPA Method 8015 DRO for diesel; and EPA Method 8260C for Volatile Organic Compounds (VOC)  
  A full TCLP, RCRA hazardous waste characteristics, PCP, and radioactivity analysis is performed when: 
--very little is known about waste; --the generating process is unknown;  
3.   The Landfill Manager will suggest which of the above listed tests are necessary to properlycharacterize the waste and ensure that the facility is permitted to accept the waste and determine if any special handling of the waste may be needed.  In making this determination, he will take into consideration all waste screening requirements of the Colorado Department of Health & Environment (CDPHE) Solid Waste Regulations Section 2.1.2, and all regulations of the SLVRSWA.  If there is doubt on    the part of the manager as to the tests needed, authenticity of the sample procedures or tests and interpretation of results, he should bring the matter before the Authority Board for further instructions. 
IV. CRITERIA FOR WASTE ACCEPTANCE; The waste evaluation process begins at the point where the generator has submitted all the relevant information and analytical data on the subject waste to the SLVRSWA Manager for review and consideration.  Initial consideration will be given by the Manager to determine if the waste may be recycled or reused by the generator. 
The process to determine the acceptability of the non-hazardous industrial or special waste will take into account several considerations about the physical and chemical characteristics of the waste and the capabilities of the Landfill to handle it.  The flow chart found in (Attachment A) details the waste evaluation process that is utilized when considering the acceptability of an industrial or special waste for disposal at                     SLVRSWA facility.  A waste is considered hazardous when it exhibits one or more of the following characteristics: Ignitable (flashpoint <140°F) Corrosive (aqueous pH <2 or > 12.5)          Reactive (normally unstable, undergoes violent changes without detonating, water reactive)         Toxic (exceeds the regulatory limits for contaminates under the TCLP or “7-11 Test” analysis) OR it is “Listed” in the CFR (waste which are pre-defined and categorized) Criteria for characteristically hazardous is addressed by 40 CFR 261, part C, subsections 261.20 – 261.24  
The Manager then will issue to the generator an “Acceptance – Rejection” form (Attachment C).  The generator is informed if the waste is accepted and any special conditions which may be imposed on the generator or the hauler.  If waste is rejected, reasons for rejection are given on the form.  SLVRSWA has the right not to accept a waste if it feels it is none compatible with the operation and guidelines set forth. Tipping fee for acceptance of waste will also be given.  
V. INSPECTION PROCEDURES: 
The SLVRSWA facility manager will follow the following inspection procedures for Industrial and Special Wastes: 
1.  When a load of special wastes arrives at the Landfill, the attendant will determine if it is a waste which special facilities have been provided for at the site.  If so, the hauler will be directed to the appropriate area for dumping.  If waste consists of empty containers the procedure set forth in paragraph VI will be followed.  All other special wastes must be accompanied by an “Acceptance – Rejection” form signed by the manager which will be keep on file with the Generator’s Waste Profile Sheet (GWPS). 
Waste Characterization & Acceptance Plan doc Revised 06/2015  
2. The pit operator will note any special handling instructions if requested and relay these instructions to other operators on duty before unloading takes place. 
3. The pit operator/operators should observe the load and determine if the waste appears to be what the instructions from the office indicates it is.  They should also identify any waste that looks out of place.  Examples of out of place waste may be an unmarked barrel in a load of mixed municipal refuse, a container of liquids, placarded containers, red bags (indicating infectious medical waste), unusual colors, chemical odors, etc.  If it appears there may be a problem, the facility manager will be notified and dumping will not be allowed until manager has checked it out and approved the waste for positive acceptance. 
4. If unacceptable waste is identified after the transporter leaves the facility, the waste is separated from the active working face and identification of the generator is attempted.  If the generator is identified, the facility manager will contact the generator to remove the waste and properly dispose of it.  If the generator cannot be identified, SLVRSWA will contract to have the waste removed and disposed of at a permitted facility. 
5. If The Special Waste Acceptance – Rejection slip indicated that waste must be placed in a certain location of the Landfill, operator will record coordinates of placement site by GPS and this information will be filed with all other paperwork for that specific waste stream.   
VI. EMPTY CONTAINER HANDLING PROCEDURES: 
Empty containers (excluding household hazardous waste containers) must either have the ends cut out or holes poked in both ends and sides.  Triple rinsed containers are acceptable but a certificate must be signed by the generator certifying that all containers in the load have been triple rinsed. (See attachment D) 
VII.  SPECIAL WASTE PROGRAM RECORDS: Records will be maintained in accordance with applicable regulations.  All special waste documents will be maintained at the facility and will not be destroyed during the site’s active life or the Post Closure period.  
VIII. Special Waste Manifest: Special waste coming into the SLVRSWA landfill shall have a manifest that is in compliance with 6 CCR 1007-3 part 263.20, 263.21 and 263.22. (See attachment E)

 NOW go read THIS article here it is below.  

Verbatim posted from article here:

Medical Waste Not as Dangerous as its Stigma Suggests


 "There's also evidence to show untreated medical waste can be safely disposed in properly operated municipal waste landfills. Regulations don't always require treatment of medical waste—disposal in a permitted landfill according to approved practices is acceptable.8"
Waste generated by healthcare providers is known by many names: medical waste, infectious waste, biohazardous waste and others. Management and disposal regulations have been issued by states throughout the country, many of which contain very detailed and cumbersome requirements for healthcare providers.
Because of this, most people assume there's considerable risk associated with medical waste if it's not properly handled or disposed of. The very existence of these regulations suggests there's risk, but is that really the case?
Concern over medical waste began in 1987, when syringes and other medical waste washed ashore onto beaches in New Jersey and New York. Beaches were closed and thousands of vacationers stayed away.
Due to misleading media reports, the general public became concerned over the possibility of contracting a bloodborne pathogen and there was a substantial loss of revenue for vendors and states. Concern about dangerous emissions from the incineration of medical waste was also generated, which created substantial pressure for governments to "do something."
Statutes and regulations dealing with medical waste were promulgated by most states over the next several years. Although this government action calmed the public outrage, the fact is that the legal landscape we've been left with is disproportionate to the risk involved.
Addressing & Defining Waste
In addition to state regulations, there are three federal agencies that address medical waste issues: the Environmental Protection Agency (EPA), the Occupational Safety and Health Administration (OSHA), and the Centers for Disease Control and Prevention (CDC). The CDC doesn't have regulatory authority, but it issues notices and advisories that often are issued jointly with OSHA, focusing on infection control issues.1
SPONSORED CONTENT BY Ferno - JEMS ?

Where’s the Waste in Your Operations?

EMS operations have a high potential for waste from daily operations. Here are just some of the numbers and a few of their causes.
Brought To You By 
Waste generated in hospitals and other healthcare settings that falls under the heading of "medical waste" is actually a very small percentage of the overall waste generated (about 15%), but concern about risks associated with this waste is high due to the prevalence of extensive regulations.
When discussing waste generated through the provision of healthcare, different terms are used, and there's no universally accepted definition used in state regulations that govern the definition, collection, handling and disposal of healthcare waste.
For example, in New York and Rhode Island, the term used is "regulated medical waste." In Colorado, Nevada and Nebraska, the term used is "infectious waste." In Connecticut, Florida, Georgia, Maine and Washington, the term used is "biomedical waste."2
OSHA published a definition of medical waste in its Bloodborne Pathogen Standard, 29 CFR 1910.1030, and it's Compliance Directive for this regulation, CPL 02-02.069: "Liquid or semi-liquid blood or OPIM (other potentially infectious material); items contaminated with blood or OPIM and which would release substances in a liquid or semi-liquid state if compressed; items that are caked with dried blood or OPIM and are capable of releasing these materials during handling; contaminated sharps; pathological and microbiological wastes containing blood or OPIM."3
In summary, sharps are medical waste and any item that's "dripping, pourable or squeezable" with blood or OPIM, or is caked with dried blood, is medical waste.
The EPA definition includes, but isn't limited to, blood-soaked bandages, culture dishes and other glassware, discarded surgical gloves and surgical instruments, discarded needles used to give shots or draw blood, removed body organs, and discarded lancets."4
The federal definitions serve as a guide, but each state sets its own definition to which OSHA defers. But the various definitions make it clear not everything used for patient care or that has some blood on it meets the definition of medical waste. How something is commonly defined in a regulation doesn't mean it requires special handling and disposal in all states. For example, the medical waste regulation in Ohio lists sharps as medical waste but states that for small generators of waste (less than 50 pounds/month) "sharps can be disposed of as solid waste in the landfill if they are placed into a rigid, puncture-resistant, leak resistant, and closed tightly to prevent loss of contents." 5
In North Carolina, an item must contain at least 20 mL of blood to be considered a potential hazard.6 In Illinois, the regulations passed in 1993 are titled Potential Infectious Medical Waste and state the regulation is the result of medical items washing up on the beaches.The wording clearly recognizes the issue isn't science-supported.
Illinois defines body fluids as "liquid emanating or derived from humans."7 So, not everything generated in patient care is red bag waste. In Nevada, the regulations state, "Concerning the health risks associated with medical waste, studies show that it does not contain any greater quantity, or different types, of microbiological agents than does residential waste." There's also evidence to show untreated medical waste can be safely disposed in properly operated municipal waste landfills. Regulations don't always require treatment of medical waste—disposal in a permitted landfill according to approved practices is acceptable.8
Needle-safe devices must be disposed of as healthcare waste even though they're designed to prevent another person being stuck by the sharp after use. Photo Kevin Link

Sharps
All state definitions list sharps as medical waste. This is appropriate since sharps such as needles, scalpels and even lancets have been documented to pose a risk for disease transmission in healthcare settings.
In numerous studies, sharps injuries have been noted to be the primary risk for exposures among healthcare personnel. Sharps injuries make up about 80% of reported healthcare worker exposures.9,10
In 2000, the U.S. Congress passed the Needlestick Safety and Prevention Act requiring the use of sharp safe devices. This law instructed OSHA to update its bloodborne pathogen regulations to require the use of needle-safe devices.11
This has reduced the incident rate of sharps injuries to healthcare workers by more than 50%. Needle-safe devices must be disposed of as healthcare waste even though they're designed to prevent another person being stuck by the sharp after use. It's clear sharps may pose a potential risk for exposure, and therefore sharps are defined as a waste requiring special handling. But is this warranted?
In 1987, concerns were raised regarding the opportunity for public exposure when 12 children in Indianapolis, were found playing with needles and vials discarded in a trash bin by a medical office. A search of the literature shows no instances of public illness as a result of exposures such as this one.
As the home health industry grows, concerns rise over the increasing quantities of medical waste found in residential waste. However, studies show that this waste doesn't contain any greater quantity, or different types of microbiological agents, than regular residential waste.11 It's important to note that medical waste and sharps coming from households are exempt from regulation in all states.
Contaminated sharps used in the provision of healthcare have been shown to pose a risk for disease transmission. But, what the science shows is that organisms die out and don't survive in a dose to cause disease transmission.
Scientific Support
Do studies really lack documentation of medical waste posing a health risk? This question was perhaps best answered in a position paper published in 1992 by the Society for Hospital Epidemiology of American (SHEA).12
Here, we have experts in the field of infections and prevention of infection directly addressing the issue of risk. In this paper, SHEA made note of the fact that the quantity and volume of medical waste coming ashore on the beaches was relatively small. Actually, about 90% was plastic, glass and other debris.12
A key factor that's missing in this discussion is whether medical waste can transmit an infectious disease. This brings into focus the factors necessary for disease transmission: dose of the organism, presence of a pathogen, virulence of the pathogen, host resistance and, the key element, mode of entry. Bloodborne diseases require blood-to-blood contact.
The CDC and the EPA only consider waste to be infectious if it contains a sufficient number of pathogenic organisms to cause illness. Thus, the CDC and EPA list the following as waste: microbiological, pathological, animal, blood and sharps. In other words, not everything needs to go in a red bag!
Most of what's used in EMS is traditional trash—not red bag waste. Generally speaking, gloves that aren't dripping with blood are trash. A 2x2 with some blood is trash. Bag-mask devices, IV bags and IV tubing are all trash. This information demonstrates the importance of knowing your state definitions.
Medical items washing up on the beaches is an aesthetic issue and raises an economic cost, but risk for transmission of disease is "nonexistent" according to the SHEA document. The report states: "The theoretical estimate that the factors for infection to occur in a sequence and a person will develop HIV infection from a needle on the beach is 1 in 15 billion to 1 in 390 trillion."12–14
Eight countries conducted studies that showed household waste was more microbial contaminated than hospital waste.15 Another study similarly showed the concentration of organisms in hospital waste was less than that of household waste.16
What about occupational exposure to medical waste? Multiple studies document the risk for disease transmission from a fresh sharps injury during the provision of patient care. However, to date, there's no evidence that a waste worker, sanitary sewer worker or a member of the public has ever acquired an infection from medical waste.1
It would appear that regulations and concern over medical waste came about by the rush to address public concern rather than looking to the science to determine whether or not legislation on this issue was warranted. Fear superseded science and education.
Today, there's a more concerted effort to have science lead the way in healthcare. This is termed "evidence-based practice" and focuses on science to support laws before they're passed.
Why It Matters
Many departments have to contract for pickup and disposal of medical waste at a significate cost. More and more medical facilities will no longer accept EMS-generated medical waste because of the additional cost to the facility, especially when much of what's currently being placed into red bags isn't truly medical waste by their state definition.
State medical waste regulations, especially the definitions, should be in each department's exposure control plan and need to be incorporated into training for all department members.
Knowing the definition of medical waste in your state is important. Many dollars can be saved in cost for medical waste disposal if you're aware of what is and isn't considered waste.
Understanding true risk versus perceived risk will assist in lowering apprehension levels among members of the department. Regulations remain regulations and whether they're science-based or not, departments must still be in compliance.
References
  1. U.S. Congress, Office of Technology Assessment: Finding the Rx for managing medical wastes. U.S. Government Printing Office, Washington, D.C., 1990.
  2. Pollution Prevention and Compliance Assistance Information for the Healthcare Industry. (n.d.) Types of regulated medical waste. Healthcare Environmental Resource Center. Retrieved Feb. 9, 2015, fromwww.hercenter.org/rmw/rmwtypes.cfm.
  3. Henshaw JL. (Nov. 27, 2001.) Enforcement procedures for the occupational exposure to bloodborne pathogens. U.S. Department of Labor. Retrieved Feb. 9, 2015, fromwww.osha.gov/pls/oshaweb/owadisp.show_document?p_table=DIRECTIVES&p_id=2570.
  4. U.S. Environmental Protection Agency. (Nov. 15, 2012.) Wastes—Non-Hazardous Waste—Industrial Waste. Retrieved Feb. 9, 2015, from www.epa.gov/osw/nonhaz/industrial/medical.
  5. Ohio Revised Code Chapter 3734.
  6. North Carolina Division of Waste Management, Section 1200 rules: Medical waste management rules.
  7. 35 Illinois Administrative Code 1420.102.
  8. Nevada Administrative Code 444.662.
  9. Occupational Safety and Health Administration. (n.d.) Bloodborne pathogens and needlestick prevention. U.S. Department of Labor. Retrieved Feb. 9, 2015, fromwww.osha.gov/SLTC/bloodbornepathogens/evaluation.html.
  10. International Healthcare Workers Safety Center. (January 2013.) University of Virginia Health System. Retrieved Feb. 9, 2015, from www.healthsystem.virginia.edu/pub/epinet/about_epinet.htm.
  11. Needlestick Safety and Prevention Act, H.R. 5178, Public Law 106–430.
  12. Rutala WA, Mayhall CG. Medical waste. Infect Control Hosp Epidemiol. 1992;13(1):38–48.
  13. Rutala WA, Weber DJ. Infectious waste—mismatch between science and policy. N Engl J Med. 1991;325(8):578–82.
  14. Agency for Toxic Substances and Disease Registry. The public health implications of medical waste: A report to Congress. [white paper]. U.S. Department of Health and Human Services: Washington, D.C., 1990.
  15. Pahren HR. Microorganisms in municipal solid waste and public health implications. CRC Critical Reviews in Environmental Control. 1987;17(3):187–228.
  16. Jager E, Xander L, Ruden H. [Medical waste. 1. Microbiologic studies of wastes of various specialties at a large and small hospital in comparison to housekeeping waste]. Zentralbl Hyg Umweltmed. 1989;188(3–4):343–364.

By
SECTION 13 MEDICAL WASTE 
13.1 Scope and Applicability 
13.2 General Provisions 
13.3 Certificate of Designation Required 
13.4 Standards for Medical Waste Generators 
13.5 Standards for Commercial Medical Waste Storage Facilities 
13.6 Standards for Medical Waste Treatment 
13.7 Engineering Design and Operation Plan Requirements for Commercial Storage and Treatment Facilities 
13.8 Operating Requirements for Commercial Storage and Treatment Facilities 
13.9 Standards for Medical Waste Disposal
 13.10 Transportation Requirements 210 September 30, 2011 13.1 SCOPE AND 

 APPLICABILITY 13.1.1 This Section 13 applies to all medical waste generators, transporters and treatment, storage and/or disposal facilities, unless otherwise exempted, that generate, store, consolidate, treat, process, transport or dispose of non-hazardous (i.e., not regulated under § 25-15-101 et. seq. CRS) medical waste as defined in Section 1.2 of these regulations. 13.1.2 Household medical waste generators shall be exempt from this 
Section 13.
13.2 GENERAL PROVISIONS 
13.2.1 Under no circumstance shall a site or facility that generates, stores, consolidates, treats, processes, transports or disposes of medical wastes become a health or environmental hazard or allow nuisance conditions as defined in Section 1.2 of these regulations to develop. Medical waste that causes nuisance conditions shall be immediately refrigerated, frozen, treated and/or disposed. 
13.2.2 Sites and facilities that generate, store, consolidate, treat, process, transport or dispose of medical wastes must comply with all local, state and federal laws, regulations, ordinances and other requirements. 
13.2.3 All records required by this Section 13 must be maintained onsite for three (3) years in an easily retrievable format. 
13.2.4 There shall be no compaction of infectious waste before treatment. 
13.2.5 Incorporation by Reference. (A) References to material incorporated by reference in this Section 13 refer to 2011 editions unless otherwise expressly noted, and do not include any later amendments or editions. (B) Information concerning all materials or regulations incorporated by reference may be obtained by contacting: 211 December 30, 2011 Regulatory and Program Authorization Coordinator Colorado Department of Public Health and Environment Hazardous Materials and Waste Management Division 4300 Cherry Creek Drive South Denver, CO 80246-1530 (C) The specific materials or regulations incorporated by reference in these regulations are listed in the Statement of Basis and Purpose for this rule-making, and are available for examination on the Internet and at the Department.
 13.3 CERTIFICATE OF DESIGNATION REQUIRED 
13.3.1 Exemptions - the following sites and facilities shall be approved sites and facilities for which it shall not be necessary to obtain a Certificate of Designation unless the Department determines that the site or facility may adversely affect human health and the environment: 

 (A) Medical waste generators that temporarily accumulate their own medical waste for onsite treatment or offsite shipment to a commercial medical waste treatment, storage or disposal facility, that are in compliance with: (1) Section 
13.4 Standards for Medical Waste Generators. (2) Section 13.9 Standards for Medical Waste Disposal. (3) Section 13.10 Transportation Requirements. For purposes of this section, “temporarily accumulate” means the generator may: (i) Store putrescible medical waste onsite for up to thirty (30) calendar days without refrigeration if the waste is packaged consistent with US DOT requirements for infectious substances (49 CFR Part 173.196 or 173.197) prior to being placed in the accumulation area. 212 September 30, 2011 (ii) Store putrescible medical waste onsite for up to ninety (90) calendar days if the waste is packaged consistent with US DOT requirements for infectious substances (49 CFR Part 173.196 or 173.197) and placed in refrigeration (45 degrees Fahrenheit or less) or frozen. (iii) Store non-putrescible medical wastes, such as sharps containers, waste pharmaceutical containers and trace chemotherapy waste, onsite for up to ninety (90) calendar days if the waste is packaged in containers that are taken out of service and are in good condition and secured to prevent unauthorized access. A Certificate of Designation is required for accumulation and/or storage of medical waste onsite by the generator if all of the requirements of this subpart 13.3.1 (A) are not met. (B) Medical waste generators that operate equipment for treatment of medical wastes generated onsite or that is generated through the normal operation of their business at other locations operated by the same business and self-transported by private motor carrier from their other locations for consolidation and/or treatment that are in compliance with: (1) Section 13.3.1(A). (2) Section 13.6 Standards for Medical Waste Treatment. Such facilities may also treat household medical waste collected as a community service. (C) Those entities that conduct medical waste consolidation and storage activities as a community service limited to only households, such as a household medical waste collection program, a sharps collection program or a pharmaceutical take-back program, if they are in compliance with the requirements for medical waste generators in Section 13.3.1(A). Such entities must ensure consolidated wastes are sent to an approved medical waste treatment or disposal facility in compliance with Section 13.9, or other solid waste management program as authorized by the Department. 213 September 30, 2011 (D) Those facilities for hazardous waste disposal that have been issued a Certificate of Designation pursuant to Title 25 Article 15 Parts 1, 2, 3 and 5, CRS, as amended, and are in compliance with 6 CCR 1007-3. 13.3.2 No person, unless exempted under Section 13.3.1, shall operate a medical waste consolidation, storage, treatment, processing or disposal facility without having received a Certificate of Designation in accordance with Section 1.6 of these regulations. 13.3.3 All applications for a Certificate of Designation must be submitted for review and approval by the Department and the local governing body with jurisdiction and include an Engineering Design and Operations Plan prepared in accordance with Section 13.7 of these regulations. 13.3.4 The owner or operator of an existing solid waste disposal site or facility for which a Certificate of Designation has been issued shall submit an amended Engineering Design and Operations Plan for approval prior to receiving untreated medical waste as a new waste stream for consolidation, storage, treatment, processing or disposal. 

 13.4 STANDARDS FOR MEDICAL WASTE GENERATORS 

 13.4.1 Medical Waste Generators are required to develop and implement an onsite medical waste management plan for each facility. At least one employee at the facility must be designated with the responsibility of implementing the medical waste management plan. (A) The plan must identify the types of medical waste generated and where each type of medical waste is generated in the facility. (B) The plan must describe how each type of medical waste will be identified, segregated, packaged, stored, treated, transported and disposed. (C) The plan must include a contingency plan for responding to spills or loss of containment of medical waste in order to minimize hazards to human health and the environment. 214 September 30, 2011 (D) The plan must identify medical waste training that will be provided to employees. 13.4.2 The plan must be maintained onsite in an easily retrievable format and be available for inspection by the regulatory agency, the transporter and the disposal facility. The plan must be updated whenever changes related to medical waste generation or handling occur. 13.5 STANDARDS FOR COMMERCIAL MEDICAL 

 WASTE STORAGE FACILITIES

 13.5.1 Commercial medical waste storage facilities shall be used for the consolidation and short-term storage of untreated medical wastes from multiple medical waste generators that will be taken to an approved medical waste treatment or disposal facility. It does not include storage of medical waste for less than seventy-two (72) hours incidental to transportation to an approved treatment, storage or disposal facility. 13.5.2 Commercial medical waste storage facilities must comply with: (A) Section 13.1 Applicability. (B) Section 13.2 General Provisions. (C) Section 13.3 Certificate of Designation. (D) Section 13.7 Engineering Design and Operations Plan Requirements. (E) Section 13.8 Operating Requirements. (F) Section 13.10 Transportation Requirements. 13.6 STANDARDS FOR MEDICAL WASTE 

 TREATMENT 

 13.6.1 Treatment must be appropriate to the type of medical waste. All waste must be handled in a manner to ensure complete treatment of the waste such that no portion of the container or bulk volume of waste remains untreated. 215 September 30, 2011 (A) Acceptable methods of treatment for infectious wastes shall be those methods that render the waste non-infectious. Such methods may include but are not limited to thermal (e.g., autoclaving, incineration, heat, microwaving, macrowaving, pyrolysis or gasification), chemical (e.g., chlorine or chlorine derivatives, ozone, enzymes or sodium hydroxide), irradiation, other mechanisms designed for specific medical waste categories (e.g., gas/vapor sterilization), or other methods as approved by the Department that will not present an endangerment to facility personnel or the public. (1) Infectious waste must be treated to achieve at least a 4 Log10 reduction in Bacillus stearothermophilus, Bacillus subtillis or Bacillus atrophaeus endospores and at least a 6 Log10 reduction in Mycobacterium phlei or Mycobacterium bovis. (2) Encapsulation, solidification and/or compaction without rendering the waste non-infectious are not adequate forms of treatment. (B) Acceptable methods of treatment for trace chemotherapy and waste pharmaceuticals include incineration, encapsulation, stabilization or other method approved by the Department. 13.6.2 The treatment technology manufacturer must incorporate recognized standards for determining appropriate validation and verification testing methodology and protocols to verify for the Department that the overall technology and the specific equipment perform as designed and are capable of consistently treating the waste to meet at least the minimum treatment standards in 13.6.1 of these regulations. This information must be made available to the prospective medical waste treater for inclusion in their medical waste management plan or application for Certificate of Designation as applicable. 13.6.3 Unless exempted in Section 13.3.1 of these regulations, medical waste treatment facilities must comply with: (A) Section 13.1 Applicability. (B) Section 13.2 General Provisions. 216 September 30, 2011 (C) Section 13.3 Certificate of Designation. (D) Section 13.7 Engineering Design and Operations Plan Requirements. (E) Section 13.8 Operating Requirements. (F) Section 13.9 Standards for Disposal. 

 13.7 ENGINEERING DESIGN AND OPERATION PLAN REQUIREMENTS FOR COMMERCIAL STORAGE AND TREATMENT FACILITIES 

 13.7.1 Prohibited waste. (A) Hazardous wastes as defined in Section 25-15-101(6) of the Colorado Revised Statutes and Part 261 of the Colorado Hazardous Waste Regulations (6 CCR 1007-3). (B) Radioactive material as defined in the Rules and Regulations Pertaining to Radiation Control (6 CCR 1007-1). (C) Controlled substances as defined by the Controlled Substances Act (21 United States Code (USC) Sec. 802(6)), unless the facility is also a US Drug Enforcement Administration (US DEA) registrant and is authorized to accept and manage these substances. Controlled substances from household medical waste generators are exempt from this Section 13.7.1. 

 13.7.2 Engineering Design and Operations Plan – Commercial medical waste storage and treatment facilities shall provide an Engineering Design and Operations Plan for review and approval to the Department and local governing body having jurisdiction prior to the acceptance of any untreated medical waste. The plan shall describe in detail how the facility will comply with all applicable requirements in these regulations. All engineered features of the facility design shall be reviewed and sealed by a registered Colorado Professional Engineer. 217 September 30, 2011 (A) The Engineering Design and Operations Plan shall contain the following general facility data: (1) The names, mailing addresses, telephone numbers and e-mail addresses of the facility owners and operators. (2) The names, addresses, telephone numbers and e-mail addresses of one or more persons having authority to take actions at the facility in the event of an emergency. (3) The mailing address and physical address of the facility, including the county and legal description as well as the quarter-section, section, township and range. (4) A general description of the medical waste storage or treatment facility. (5) A listing of all permits or construction approvals received by or applied for, including air quality, water quality, local waste-water treatment, and other State or local permits. (B) The Engineering Design and Operations Plan shall contain, at a minimum, the following maps: (1) A vicinity map, drawn at a recognized engineering scale, that has been certified by a registered Colorado Professional Engineer showing access and service roads to the facility; zoning and land use; present land owners; property boundaries; easements; rights of way; residences; wells; location of floodplain boundaries; locations of all springs, lakes, streams, wetlands, constructed or natural drainages, and irrigation ditches; and all man-made or natural features relating to the facility within a 1/2-mile radius. (2) A site map, drawn at a recognized engineering scale, that has been certified by a registered Colorado Professional Engineer showing facility boundaries; location, size, and use of existing or proposed structures or other storage units; areas to be used for unloading, storage, and loading of wastes; general process flow; existing or proposed water diversion, collection, conveyance, treatment, storage and discharge facilities; and any other information requested if necessary to complete review of the plan. 218 September 30, 2011 (C) The Engineering Design and Operations Plan shall contain the following operational information. (1) A narrative description of the general operating plan for the facility, including hours of operation, daily operations methodology, and expected facility capacity. (2) Descriptions of the job titles, duties, responsibilities and training requirements of all employees who manage medical waste at the site. (3) For sites where medical waste treatment is to be conducted, the plan shall also include: (i) Technology validation process - A detailed description of the technology validation process steps and the waste treatment process including capacity of the unit, composition and volume of waste the technology is designed to treat and the composition and volume of waste representing the worst case scenario for this technology. For infectious waste treatment processes, this shall also include a description of the time intervals and locations for biological indicator samples that were placed in the load, and the procedures for testing the biological indicator samples to determine final concentrations after treatment. This information should be provided by the technology manufacturer. (ii) Technology verification process – A detailed description of the verification testing procedures to be used on a routine basis by the waste treater to verify for the Department that the technology remains effective onsite under actual operating conditions. (a) Onsite verification testing must be completed on representative test loads before production startup of a newly installed treatment system at the waste treater’s facility. The waste treater must maintain documentation of onsite verification testing and monitoring results for each test load, including any deviations from the critical limits and corrective actions taken. 219 September 30, 2011 (b) For infectious waste treatment processes, verification procedures shall use biological monitoring. Parametric monitoring may be allowed if the technology manufacturer has successfully demonstrated to the Department that appropriate critical limits are met to achieve adequate biological inactivation and that the parameters to be monitored are directly correlated to biological inactivation. (c) A description of the treatment technology including manufacturer’s name and equipment model number or description, standard operating procedures which have been proven to be effective, and a description of preventive maintenance procedures. For infectious waste treatment processes, a description of the required residence time for waste in the treatment zone and a description of the type and frequency of biologic and/or parametric verification monitoring, including calibration of parametric controls, should also be included. (d) The waste treater must provide a detailed written operations and maintenance plan that includes the technology manufacturer’s specifications and instructions. (e) The waste treater must follow the written operations and maintenance procedures provided by the technology manufacturer and maintain documentation of onsite treatment and monitoring results for each waste load, including any deviations from the critical limits and corrective actions taken in the event of a deviation. (iii) A detailed engineering description of the facility with a flow chart showing the components of the treatment system. (iv) A description of annual operator training requirements including loading and unloading of the treatment system to minimize occupational exposure and physical injury, emergency procedures for handling malfunctioning systems, and documentation requirements for system failure during operation. 220 September 30, 2011 (v) A description of waste loads that can be processed, waste feed capacity and rate, and limitations on waste composition and types. (vi) A description of control systems including air flow, waste moving/mixing systems, procedures to be used for facility startup and scheduled and/or unscheduled shutdown, warning systems and waste feed cutoff, if applicable. (4) A waste characterization and acceptance plan, including waste screening methods to be used, waste exclusion procedures and rejection of prohibited wastes, handling methods for wastes that require special or non-standard handling, and a contingency plan for handling prohibited wastes. (5) A detailed description of the on- and offsite controls to be used to prevent nuisance conditions, including dust, noise, mud, odors, and control of disease vectors including the attraction, breeding and emergence of insects, birds or rodents. (6) A waste handling and storage plan, including a detailed description of the unloading, monitoring, handling and storage practices to be used and information on methods to secure access and set up barriers to prevent unauthorized entry to areas where waste is stored. (i) All exterior doors, gates or lids to medical waste storage areas shall be marked with the biohazard symbol, if applicable, and the words “Caution – Medical Waste Storage Area – Unauthorized Persons Keep Out”. Letters on signs shall be at least two inches in height and legible. (ii) Medical waste shall be stored in a manner and location that maintains the integrity of the packaging and provides protection from water, precipitation and wind. Storage units shall be constructed of easily cleanable materials that are impervious to liquids and resistant to corrosion from disinfectants, have adequate drainage, and are free of standing water. 221 September 30, 2011 (iii) Medical waste shall be stored for no more than fourteen (14) calendar days from the date of receipt at the storage facility before being transported to an approved treatment or disposal facility. (iv) If odors or other nuisance conditions develop, the waste shall immediately be placed in an enclosed unit maintained at or below 45 degrees Fahrenheit or transported to an approved treatment or disposal facility. (7) A description of the tracking system to be used to maintain control of waste flow. The system shall include: the source, volume, and types of waste received; the date the waste was received; for storage facilities, the date the waste was shipped to the treatment or disposal facility; for treatment facilities, the date the waste was treated and sent for disposal. Documentation, including copies of waste tracking logs, shipping papers and/or manifests, shall be retained for a minimum of three (3) years from the date the waste was shipped from the facility. (8) An operational safety, fire prevention and contingency plan to minimize hazards. The plan shall include: (i) A plan for the alternate management of wastes in the event the facility is not in operation due to equipment failure or closure due to unforeseen circumstances, or if the permitted capacity of the facility will be exceeded. (ii) Cleanup procedures to be implemented in the event of a loss of containment, spill or release. (iii) The location and use of all spill response supplies and personal protective equipment and the methods to be used to manage recovered waste and contaminated spill response supplies and personal protective equipment. (iv) The designated person or persons responsible for implementing the plan. (v) Spill reporting provisions. 222 September 30, 2011 (vi) A fire protection plan in compliance with local fire codes. (9) A personnel training plan identifying training to be received by each employee based on the responsibilities associated with their job duties. Training shall be conducted, at a minimum: (i) When the employee starts a new position or receives additional duties related to medical waste management. (ii) When new medical waste management procedures are implemented. (iii) On an annual basis. Employee training shall include, but not be limited to: medical waste identification, bloodborne pathogens, waste containment and labeling; storage requirements; equipment operations including equipment startup, shutdown, maintenance, and associated procedures to assure safe operation; and roles and responsibilities when implementing the facility contingency plan. Training for employees that prepare waste for shipment shall be consistent with US DOT requirements. (10) A closure plan providing information on the actions to be taken at the time of final facility closure, including: (i) The Department, the local governing body having jurisdiction, and customers serviced by the facility shall be notified in writing at least sixty (60) calendar days in advance of the proposed closure date. If applicable, signs of a suitable size notifying drop-off customers of the site closure shall be placed in a conspicuous area at the entrances to the facility at least sixty (60) calendar days in advance of the proposed closure date. (ii) The facility shall not accept new or additional waste shipments for storage and/or treatment fourteen (14) calendar days prior to the date of anticipated closure. All wastes shall be transported offsite to an approved solid waste site or facility within fourteen (14) calendar days of receipt of the final waste load. 223 September 30, 2011 (iii) Waste storage units and waste management areas shall be cleaned to disinfect and/or remove visible traces of medical waste. (iv) Within thirty (30) calendar days of completing closure activities, the owner and operator shall provide written notification to the Department and the local governing body having jurisdiction to document that proper treatment and disposal of all wastes has taken place in accordance with the approved closure plan and that facility closure standards have been achieved. 

 13.7.3 Fees and financial assurance - All medical waste facilities subject to regulation under this Section 13.7 shall be subject to applicable solid waste fees as required under Section 1.7 and financial assurance as required under Section 1.8 of these regulations. 13.7.4 Inspections - All medical waste facilities subject to regulation under this Section 13.7 shall be subject to inspection and enforcement requirements in Section1.9 of these regulations. 

 13.8 OPERATING REQUIREMENTS FOR COMMERCIAL STORAGE AND TREATMENT FACILITIES 

 13.8.1 Facilities shall notify the Department and the local governing body having jurisdiction in writing of the anticipated date of startup not more than sixty (60) calendar days and not less than thirty (30) calendar days prior to the date of startup. 
13.8.2 Facilities shall be operated in accordance with their approved Engineering Design and Operations Plan and all other applicable permits. 
13.8.3 Facilities shall conduct daily inspections to detect disease vectors, leaks, odors, dust, equipment malfunctions and other site conditions that may cause nuisance conditions to occur. If problems are found during the inspection, measures to correct the problems shall be implemented immediately. Inspections and any corrective measures taken shall be documented by the facility in an easily retrievable format. 
13.8.4 Access controls shall be used to prevent unauthorized access to areas where wastes are stored, treated or otherwise managed. 224 September 30, 2011 
13.8.5 Record Keeping - The facility shall maintain the following records onsite in an easily retrievable format: (A) The facility’s Certificate of Designation. (B) The facility’s approved Engineering Design and Operations Plan. (C) For storage facilities - copies of waste manifests or shipping papers showing incoming volumes of waste, waste types, container types, types of transport, generator names and addresses, dates of waste pick/dropoff, and destinations for waste. (D) For treatment facilities - copies of waste manifests or shipping papers showing incoming volumes of waste, waste types, container types, types of transport, generator names and addresses, treatment methods, dates of pickup /drop-off and treatment, copies of all verification testing results and results of treatment system monitoring applicable to the type of treatment, and final disposition of the treated waste. (E) Records indicating instances when the facility’s plan to prevent acceptance or treatment of prohibited wastes was put into effect and actions taken, including disposal destinations for such wastes. (F) A daily log or equivalent mechanism indicating inspections and necessary actions taken to resolve conditions not in compliance with the approved Engineering Design and Operations Plan. (G) For treatment facilities, copies of all verification testing results and results of treatment system monitoring applicable to the type of treatment. (H) Copies of personnel training records. 
13.8.6 The facility shall be closed in accordance with the closure plan in its approved Engineering Design and Operations Plan. 224.1 September 30, 2011 

 13.9 STANDARDS FOR MEDICAL WASTE DISPOSAL 

 13.9.1 Final disposition of medical waste consisting of recognizable human anatomical remains must be by interment, cremation, incineration or entombment, or by acceptance by a representative of the State Anatomical Board. 
13.9.2 Infectious waste. (A) Untreated infectious waste from non-household sources may not be disposed of in a solid waste disposal site or facility unless the facility has an approved Engineering Design and Operations Plan that specifically allows these wastes. (B) Once treated to achieve the required standard of biological inactivation, infectious waste is considered to have been rendered noninfectious and may be discharged into a sanitary sewer system that provides secondary treatment of waste or be disposed of with other non-medical and non-hazardous solid waste as appropriate. (C) Discharge to a sanitary sewage treatment system is permitted only if discharged in accordance with the waste-water treatment facility’s requirements, as applicable, and may require notification to and approval from the waste-water treatment authority. (D) Treated infectious waste must be clearly identified as treated waste or the waste treater must notify the waste transporter and disposal facility in writing that their general solid waste includes infectious waste that has been treated to render it non-infectious. 13.9.3 Trace chemotherapy waste and waste pharmaceuticals. (A) Trace chemotherapy waste must be disposed of in an approved solid waste disposal site or facility that has an approved Engineering Design and Operations Plan that specifically allows this waste, or may be incinerated at an approved solid or hazardous waste incinerator. (B) Waste pharmaceuticals that are not hazardous wastes and that do not contain controlled substances may be: 224.2 September 30, 2011 (1) Sent to a reverse distributor that collects unused, expired and recalled pharmaceuticals for proper disposal or returned to the manufacturer for credit. (2) Sent to a mail-back service for proper disposal. (3) Treated to encapsulate or stabilize the waste at an approved medical waste treatment facility prior to disposal in a solid waste disposal site or facility. All activities involved in the disposal of treated pharmaceuticals shall be conducted in a manner that minimizes the potential to release the waste or damage the containers holding the waste. (4) Incinerated at an approved solid or hazardous waste incinerator. or (5) Must be disposed of in an approved solid waste disposal site or facility that has an approved Engineering Design and Operations Plan that specifically allows this waste. (C) Hazardous waste pharmaceuticals must be managed in accordance with the Colorado Hazardous Waste Act (Title 25 Article 15 Parts 1, 2, 3, and 5 CRS, as amended) and implementing regulations (6 CCR 1007-3). (D) Waste pharmaceuticals that contain controlled substances must be managed in accordance with the US DEA requirements in 21 CFR 1307.11 or 1307.21. (E) Waste pharmaceuticals that are both hazardous waste and contain controlled substances must be managed in accordance with the Colorado Hazardous Waste Act (Title 25 Article 15 Parts 1, 2, 3, and 5 CRS, as amended) and implementing regulations (6 CCR 1007-3) and the US DEA requirements in 21 CFR 1307.11 or 1307.21. 224.3 September 30, 2011

13.10 TRANSPORTATION REQUIREMENTS 

 13.10.1 Except as provided for in Section 13.3.1, medical waste may only be transported to an approved commercial medical waste storage, treatment or disposal facility. 
13.10.2 Spills or releases of medical waste which occur during transportation shall be cleaned up immediately by the transporter according to generally accepted procedures. Spills to the environment or those exposing workers or the general public to potential infection shall be reported to the Colorado Department of Public Health and Environment, to the local governing body having jurisdiction, and to the waste-water treatment facility if discharged to the sewer system, within twenty-four (24) hours. A written summary report describing the spill or release and the actions taken to remediate it shall be submitted to the Department within fifteen (15) calendar days of the incident.

 6 CCR 1007-2, PART 1 (Downloadable PDF) 
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2 comments:

  1. UnknownFebruary 29, 2020 at 5:55 PM

    So sounds like as humans are considered non hazardous medical waste.

    ReplyDelete

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