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V CVSHealth <br /> Ms . Florido <br /> March 8 , 2019 <br /> Page 3 <br /> 3 . EPA carefully assessed whether destruction of empty warfarin containers is warranted <br /> and ultimately determined that destruction is not necessary. Although EPA ' s proposed <br /> rule would have required destruction of empty containers , EPA ultimately did not finalize <br /> the requirement to destroy the empty containers prior to disposal , given the potential for <br /> worker safety concerns if required to crush or shred the containers . <br /> We emphasize the above points from the Pharm Rule because EPA carefully considered <br /> whether residue and empty containers should be managed as hazardous (or acute hazardous) <br /> waste . Based on (i) data (such as the studies that EPA reviewed) supporting the conclusion that <br /> very little residue remains in containers after the pharmaceuticals are dispensed , and (ii) for <br /> policy reasons (such as avoiding sewering of residues after triple-rinsing) , EPA determined that <br /> it is not appropriate to manage the residues or containers as hazardous (or acute) hazardous <br /> waste . <br /> California. We are aware that prior to EPA ' s publication of the Pharm Rule , DTSC <br /> issued a December 24 , 2015 interpretation rejecting EPAs November 4 , 2011 memorandum <br /> regarding empty containers . DTSC interpreted California' s regulations as more stringent than <br /> federal regulations and stated : "The distinction between the regulations is that the federal <br /> regulation specifically addresses the ` Residues of hazardous waste in empty containers ' . . . and <br /> California' s regulation addresses the ` Contaminated Containers ' as whole entities . " <br /> The DTSC letter quoted California Code of Regulations , title 22 , section 66261 . 7(r) : <br /> Any container, or inner liner removed from a container, which previously <br /> held a hazardous material , including but not limited to hazardous waste , and which <br /> is not empty as defined in subsection [ . . . ] (d) of this section, . . . shall be managed <br /> as a hazardous waste in accordance with this division and Chapter 6 . 5 of Division <br /> 20 of the Health and Safety Code (commencing with Section 25100) . <br /> (Emphasis added) . DTSC further stated : <br /> When DTSC observes a hazardous waste that is comprised of non- empty <br /> containers having RCRA P - listed hazardous waste residues inside them, DTSC <br /> considers the entire container and residue combination as " the hazardous waste " <br /> that must be properly managed to protect human health and the environment . <br /> Accordingly, generators must include the weight of the container and not just the <br /> mass of container residue when computing the amount of acute hazardous waste <br /> generated (i . e . handling each residue and its associated container as a whole entity <br /> of hazardous waste) . (Cal . Code Regs . , tit . 225 § 66261 . 100 , subd . (a) (2) . ) <br /> DTSC reaffirmed its position regarding empty containers in a letter dated August 2 , 2018 . <br /> We do not dispute that the California regulatory language is somewhat different than federal <br /> regulations . However, there is an interpretation much more appropriate than DTSC ' s prior <br /> �; pharmacy / caremark / minute clinic / specialty <br />