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1P 0 Dignity Health. St. Joseph's Medical Center Transport of waste to an accumulation site will only be discarded into a transport barrel that is labeled as "Pathology Waste" or"PATH". Trace chemotherapy waste will be segregated for storage, and when placed in a secondary container, that container shall be labeled with the words "Trace Chemotherapy Waste" or "CHEMO" on the lid and sides, so it can be seen from any lateral direction. Trace Chemotherapy waste will only be discarded into a yellow transport barrel, as provided by the vendor, labeled as "Trace Chemotherapy Waste" or "CHEMO". Waste will not be stored at or below 0° Centigrade (32° Fahrenheit) at any onsite location for more than 89 days, after which time it will be appropriately transported to a medical waste accumulation site, transferred to an appropriate barrel, and picked up by Stericycle within 24 hours. Pharmaceutical Waste The following procedures must be followed when handling pharmaceutical waste: • Nonradioactive pharmaceutical wastes that are not subject to the Federal Resource Conservation and Recovery Act of 1976, as amended in Public Law 94-580, and that are regulated as medical waste are placed in a pharmaceutical container labeled "HIGH HEAT" or "INCINERATION ONLY," or with another label approved by the CDPH, on the lid and sides, so it can be seen from any lateral direction. This ensures treatment of the pharmaceutical waste. • Pharmaceutical wastes classified by the Drug Enforcement Administration (DEA) as "controlled substances" shall be disposed of in compliance with DEA requirements. Liquid jVixed Waste Liquid mixed waste might be decontaminated to neutralize the biohazardous agents with an agent- appropriate disinfectant, only if the disinfectant is chemically compatible with the hazardous or radioactive components of the mixed waste material. If there are chemical incompatibility issues with the waste then the biohazardous component of the waste will not be treated. In either scenario the liquid waste will still be discarded as mixed waste and subject to regulation as specified in the statutes and regulations applicable to hazardous waste and/or radioactive waste. WASTE MAINTENANCE Accumulation Site Each medical waste accumulation site must be locked and secured at all times. The accumulation waste sites at SJMC are solely for the temporary storage of waste generated through SJMC-specific activities. Maintenance, upkeep, and security of the accumulation site is the responsibility of all Environmental Services personnel at SJMC who are properly trained to access the site.