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COMPLIANCE INFO_2019
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COMPLIANCE INFO_2019
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Last modified
1/6/2022 2:42:35 PM
Creation date
1/6/2022 2:17:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0541027
PE
2247
FACILITY_ID
FA0023489
FACILITY_NAME
CVS PHARMACY #16223
STREET_NUMBER
2800
STREET_NAME
NAGLEE
STREET_TYPE
RD
City
Tracy
Zip
95304
CURRENT_STATUS
01
SITE_LOCATION
2800 NAGLEE RD STE B
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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58054 Federal Register/Vol. 80, No. 186/Friday, September 25, 2015/Proposed Rules <br />is, the study investigated whether the <br />concentration of warfarin in the <br />residues of warfarin pill bottles was <br />greater than 0.3% and therefore met the <br />listing criteria for P001 or whether the <br />residues were at or below 0.3% and <br />therefore met the listing criteria for <br />U248. Although nicotine is not a <br />concentration -based P -listing, packaging <br />from nicotine -containing products were <br />also investigated to determine total <br />remaining residues. <br />The researchers collected a total of 59 <br />samples containers, including 44 <br />sample containers that had held <br />warfarin pills but had been fully <br />dispensed and another 15 sample <br />containers from nicotine -containing <br />products. The samples included <br />warfarin and nicotine from several <br />manufacturers, in a range of dose <br />strengths and in various container types. <br />The residues were solvent -extracted and <br />then dried by rotary evaporation to <br />determine the total weight of residues. <br />Subsequently, the residues were re- <br />dissolved in methanol and analyzed <br />using HPLC to determine the <br />concentration of the active <br />pharmaceutical within the residues. <br />The majority of warfarin containers <br />were plastic bottles, but some containers <br />were blister packs and three samples <br />were 30 -pill blister packs, sometimes <br />referred to as a "bingo card." The results <br />indicate that the concentration of the <br />active pharmaceutical ingredient <br />warfarin in the residues in plastic <br />bottles was usually over the 0.3% <br />concentration. However, the <br />concentration of warfarin in the <br />residues on blister packs, including the <br />30 -pack blister pack, was consistently <br />below 0.3%. Overall, in the majority of <br />cases, the warfarin within the residues <br />was present at a high enough <br />concentration to be considered P001 (33 <br />of 44 samples, 75 percent of the <br />samples). <br />However, the results also confirm the <br />results from the first two stakeholders. <br />That is, the total weight of residues <br />remaining in the containers after they <br />were emptied of the warfarin pills is <br />negligible. For the plastic bottles, the <br />total weight of residue ranged from 4.3— <br />82.3 mg. For the single-dose blister <br />packs, the total weight of residue ranged <br />from 3.5-7.6 mg. And for the 30 -pack <br />blister pack, the total weight ranged <br />from 134.8-273 mg. Taking the smallest <br />amount of residue of 3.5 mg, it would <br />take close to 300,000 containers per <br />month to exceed the 1 kg threshold to <br />be an LQG. Even on the conservative <br />side, taking the largest amount of <br />residue of 273 mg, it would take close <br />to 4000 containers per month to exceed <br />the 1 kg threshold to be an LQG. <br />The results for nicotine residues were <br />Si For containers of gum and <br />patches, the weight of total residues <br />ranged from 9-111.2 mg, although the <br />two containers of liquid nicotine <br />SO contained more residues -1301 <br />and 1616 mg. Although nicotine is not <br />a concentration -based listing, it is worth <br />noting that the active pharmaceutical <br />in of nicotine in the residues <br />was below the quantifiable limit of 1.5 <br />µg/ml in 8 of the 15 samples and for the <br />other 7 samples, the concentration of <br />nicotine ranged from 0.01-0.09%. <br />iv. EPA's Office of Research and <br />Development. Finally, EPA's ORD <br />conducted an analysis to evaluate <br />whether simply removing a drug from <br />the container is equivalent to triple <br />rinsing the container. ORD's results are <br />S <br />in Table 11, but the Final <br />Project Report containing the full results <br />is in the docket for this proposed <br />rulemaking (EPA–HQ–RCRA-2007— <br />0932). ORD analyzed three different P - <br />listed pharmaceuticals: Warfarin, <br />nicotine and physostigmine salicylate. <br />Table 11 lists the 18 different <br />combinations of active pharmaceutical <br />ingredients, form, dosage strengths and <br />packaging combinations that ORD <br />analyzed. <br />TABLE 11—PHARMACEUTICAL COMBINATIONS TESTED BY EPA's <br />ORD <br />Active pharmaceutical <br />ingredient <br />Manufacturer/Brand name <br />Form <br />Dosage <br />Packaging type <br />Warfarin ..................... <br />Nicotine ...................... <br />Physostigmine Salicy- <br />Taro Pharmaceutical Industries, Ltd.............. <br />Upsher-Smith/Jantoven.................................. <br />GlaxoSmithKline/Nicorette ............................. <br />Rugby Laboratories. <br />GlaxoSmithKline/Nicorette ............................. <br />Rugby Laboratories ........................................ <br />Habitrol.......................................................... <br />Rugby Laboratories ........................................ <br />Pfizer/Nicotrol................................................. <br />Akron Inc. <br />Tablet 0000... <br />Tablet 0000... <br />Tablet 0000... <br />Tablet 0000... <br />Tablet 04.111. <br />Tablet ....... <br />Gum ......... <br />Gum ......... <br />Gum ......... <br />Gum ......... <br />Lozenge ... <br />Lozenge ... <br />Patch......., <br />Patch ........ <br />Patch ........ <br />Spray"..... <br />Inhaler 0000.. <br />Liquid 0000... <br />1 mg ......... <br />5 mg ......... <br />10 mg ..04.11 <br />2 mg ......... <br />1 mg ......... <br />10 mg ....... <br />2 mg ......... <br />4 mg ......... <br />2 mg ......... <br />4 mg ......... <br />2 mg ......... <br />4 mg ......... <br />7 mg ......... <br />14 mg 0000... <br />21 mg 0000... <br />10 mg/ml .. <br />10 mg Dole... <br />1 mg/ml .... <br />Plastic bottle. <br />Plastic bottle. <br />Plastic bottle. <br />Single-dose blister pack. <br />Single-dose blister pack <br />Single-dose blister pack. <br />Single-dose blister pack. <br />Single-dose blister pack. <br />Single-dose blister pack. <br />Single-dose blister pack. <br />Plastic vial <br />Plastic vial. <br />Peel -off plastic. <br />Peekoff plastic. <br />Peel -off plastic. <br />Glass vial. <br />Plastic container. <br />Glass ampoule. <br />late. <br />All combinations in Table 11 were <br />analyzed in triplicate using the <br />following three-step approach: <br />(1) After removing the tablets, gum, <br />lozenges, etc from the containers, the <br />amount of total residuals remaining in <br />the container was determined using a <br />sensitive balance to weigh the container <br />before and after triple rinsing, <br />(2) The "maximum possible weight of <br />residual drug/total residual/container" <br />was calculated for each compound and <br />packaging combination. This calculated <br />result was used to infer a theoretical <br />upper limit for the amount of active <br />pharmaceutical compound in the total <br />residue remaining in the container, and <br />(TGA) was used to qualitatively evaluate <br />the presence of active pharmaceutical <br />ingredient in the residuals removed <br />fr <br />(3) Thermal gravimetric analysis <br />om the containers before and after <br />triple -rinsing. <br />With respect to the weight of the <br />remaining residuals in the containers, <br />ORD's results are similar to the results <br />
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