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• • •• ••_FM 111011MM, • • .••110MITUM3111i•11•'. • • .•• • • • •• 1• •• • .•• • • •'. <br /> Hazardous Waste Hazardous Waste <br /> Toxic Toxic <br /> Pharmaceuticals Pharmaceuticals <br /> Physical State: Physical State: <br /> ❑ solid ❑ liquid ❑ solid ❑ liquid <br /> Store # Store # <br /> I <br /> Store Address: Store Address.- <br /> Accumulation <br /> ddress:Accumulation Start Accumulation Start <br /> Contents: Contents: <br /> NO CON D SUBSTANCES OR NO CONT D SUBSTANCES OR <br /> DEA LI EMICALS DEA LI EMICALS <br /> ❑ Loose pills ❑ Loose pills <br /> ❑ Empty containers (closed) that once contained ❑ Empty containers (closed) that once contained <br /> pharmaceuticals in the Warfarin family, or Phentermine pharmaceuticals in the Warfarin family, or Phentermine <br /> ❑ Pharmaceutical spill cleanup materials ❑ Pharmaceutical spill cleanup materials <br /> ❑ Materials from cleaning pharmaceutical equipment and utensils ❑ Materials from cleaning pharmaceutical equipment and utensils <br /> ❑ Trace chemotherapy waste ❑ Trace chemotherapy waste <br /> ❑ Unclaimed pharmaceutical compounds or mixes ❑ Unclaimed pharmaceutical compounds or mixes <br /> ❑ Used flu vaccine vials ❑ Used flu vaccine vials <br /> ❑ Unwanted compounding chemicals ❑ Unwanted compounding chemicals <br /> ❑ Other pharmaceutical materials of no value ❑ Other pharmaceutical materials of no value <br /> THIS CONTAINER MUST REMAIN CLOSED. THIS CONTAINER MUST REMAIN CLOSED. <br />