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W CVSHealth <br />Ms. Florido <br />March 29, 2019 <br />Page 4 <br />interpretation, yet still fully protective of human health and the environment. It is important to <br />not overlook that California's regulation states that empty containers must be manaked as a <br />hazardous waste. California's regulation does not say that empty containers must be counted <br />toward a facility's generator status because containers do not meet the definition of hazardous <br />waste under California regulations. See 22 CCR 66261.3. <br />Based on the 2015 DTSC letter discussed above, which states that DTSC may revisit the <br />empty container issue when EPA issues the Pharm Rule, we anticipate that DTSC is likely to <br />reevaluate its position on empty containers. In the meantime, based on (i) EPA's data and <br />conclusions — namely that EPA has investigated and determined that very small amounts of <br />residues remain in containers after pharmaceuticals are dispensed, and EPA's ultimately decision <br />to not require management or counting of the residue or containers as hazardous (or acute <br />hazardous) waste; and (ii) California regulatory language clearly states that non -empty <br />containers must be managed as hazardous waste, we request that the County conclude that <br />CVS's management requirements for containers that previously held warfarin are compliant with <br />California regulations. Importantly, CVS manages all containers that previously held warfarin - <br />family pharmaceuticals as hazardous waste during hazardous waste accumulation at the store <br />level and when transported, and all containers that previously held warfarin are ultimately <br />incinerated. CVS's approach provides protection to human health and the environment well <br />above the protection that EPA has concluded (in the Pharm Rule) is warranted, and counting <br />warfarin empty containers toward CVS's generator status would provide no additional <br />protection. CVS's management requirements also comply with the "management" requirement <br />of the California regulations. <br />Item 114 relates to sending generator manifest copies to the Department of Toxic <br />Substances Control (DTSC). We have confirmed that CVS's hazardous waste hauler, Stericycle, <br />provides copies of generator manifests to DTSC on behalf of CVS for all hazardous waste <br />pickups at CVS stores in California. We do note that the regulatory requirement pertains to <br />sending generator copies to DTSC, and not to any requirement that the copies are contained in <br />the DTSC database. However, out of an abundance of caution, we have requested Stericycle to <br />resubmit manifests numbers 011392884FLE, 011392883FLE, and 011392678FLE, <br />011392677FLE, and 010867630FLE, and 008680793. Attached please find the referenced <br />manifests. <br />Training/Training Records <br />Items 118 and 119 of your Report relate to the store's training plan and annual <br />completion of hazardous waste management training. As background, CVS has developed <br />the attached matrix which lists job duties related to hazardous waste management, a <br />description of such duties, and a list of store -level responsible employees by category and <br />job code. This matrix supplements the Training Program Plan and Course Overview on <br />pages 6-7 of the Program Overview (attached) and applies to all retail store locations. The <br />type and amount of introductory and continuing training provided to store employees is <br />�/S pharmacy / Caremark /minute clinic /specialty <br />