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DocuSign Envelope ID:9A9DFCD4-6566-4FAF-A840-81198DF04AC1 <br /> Regulated Medical <br /> Regulated Medical Waste Acceptance PolicyWaste Service <br /> Stericycle policy requires compliance with all applicable regulations regarding the collection, STERICYCLE REGULATED MEDICAL WASTE ACCEPTANCE POLICY CHECKLIST <br /> transportation and treatment of regulated medical waste.Federal Department of Transportation <br /> (DOT)regulations require the generator of regulated medical waste to certify that the packaging ACCEPTED REGULATED MEDICAL WASTE <br /> and documentation of transported regulated medical waste complies with DOT regulations <br /> regarding waste classification,packaging,labeling and shipping documentation.To ensure that •Sharps-Means any object contaminated with a pathogen or that may become contaminated with a <br /> pathogen through handling or during transportation and also capable of cutting or penetrating skin <br /> neither Stericycle nor the generator of regulated medical waste violates applicable regulations, i or a packaging material.Sharps includes needles,syringes,scalpels,broken glass,culture slides, <br /> it is imperative that all parties understand the rules regarding proper identification,classification, culture dishes,broken capillary tubes,broken rigid plastic and exposed ends of dental wires. <br /> segregation and packaging of regulated medical waste.The purpose of this policy is to summarize •Regulated Medical Waste or Clinical Waste or Biomedical Waste-Means a waste or reusable <br /> the minimum requirements for preparing your medical waste for collection,transportation and treatment. material derived from the medical treatment of an animal or human,which includes diagnosis <br /> Additional facility or state-specific waste acceptance policies may apply based on permit specifications. and immunization,or from biomedical research,which includes the production and testing of <br /> Please contact your local representative for further information or email customercare®stericycle.com. biological products. <br /> REGULATED MEDICAL WASTE ACCEPTED REGULATED MEDICAL WASTE WHICH MUST BE IDENTIFIED AND <br /> Stericycle accepts medical waste generated in a broad range of medical,diagnostic,therapeutic and SEGREGATED FOR INCINERATION <br /> research activities.The term'medical waste`includes biohazardous,biomedical,infectious or regulated •Trace Che mherapy Contaminated Waste:RCRA Empty drug vials,syringes and needles,spill <br /> medical waste as defined under federal,state or local laws,rules,regulations and guidelines.Except <br /> as defined by specific state regulations,this excludes RCRA hazardous waste pharmaceuticals,all DEA kits,IV tubing and bags,contaminated gloves and gowns and related materials as defined in <br /> scheduled drugs including state <br /> regulation substances,bulk RA hazardous <br /> applicable laws,rules,regulations or guidelines. <br /> 9 g chemotherapy,waste containing mercury or .Pathological Waste:Human or animal body parts,organs,tissues and surgical specimens(decanted <br /> other heavy metals,batteries of any type,cauterizers,non-infectious dental waste,chemicals such as of formaldehyde,formalin or other preservatives as required per hazardous wane rules}. <br /> solvents,reagents,corosives or ignitable materials classified as hazardous waste under Federal and/or <br /> state-specific EPA Regulations.In addition,Stericycle cannot accept bulk liquids,radioactive materials, •Non-RCRA Pharmaceuticals:Must be characterized and certified as non-RCRA hazardous <br /> or complete human remains(including heads,full torsos and fetuses).Stericycle cannot accept these material by the generator.Excludes all DEA scheduled drugs,including controlled substances: I <br /> excluded materials packaged as regulated medical waste.All lab wastes or materials which contain or •California Only-Solidified Suction Canisters:Suction canisters that have been injected with <br /> have the potential to contain infectious substances arising from those agents listed under 42 CFR Pan 73 solidfier materials to control liquids or suction canisters made of high heat resistant plastics <br /> (HHSL 7 CFR Par.331(USDA-Plant Protection and Quarantine),and 9 CFR Part 121(USDA-Veterinary Services) such as polysuffone. <br /> are strictly prohibited from medical waste by federal law and must be pretreated prior to disposal.Separate <br /> protocol and packaging requirements may apply for the disposal of non-hazardous pharmaceuticals. OTHER REGULATED MEDICAL WASTES NOT ACCEPTED AS REGULATED <br /> Hazardous waste transportation services may be offered in certain geographical locations,under separate MEDICAL WASTE BY STERICYCLE <br /> contract Please contact your local representative for details and packaging specifications. <br /> •Untreated Category AInfectiousSubstances <br /> -U-drspensedfi DEA AegEc r <br /> •Complete Human Remains(including heads,full torsos and fetuses) <br /> WASTE SEGREGATION AND PACKAGING •Bulk Chemotherapy Waste <br /> The generator is solely responsible for properly segregating,packaging and labeling of regulated •Mercury-Containing Dental Waste:Non-contact and contact amalgam and products,chairside <br /> medical wane.Proper segregation and packaging reduces the potential for accidental release of the traps,amalgam sludge or vacuum pump filters,extracted teeth with mercury fillings and empty <br /> contents and exposure to employees and the general public DOT regulations(49 CFR 173.197)require amalgam capsules <br /> that all packages of regulated medical waste be prepared for transport in containers that meet all of the Mercury Containing Material or Devices;Any mercury thermometers,sphygmomanometers,lab <br /> following requirements:rigid,leak resistant impervious to moisture,of sufficient strength to prevent or medical devices <br /> tearing or bursting under normal conditions of use and handling,sealed to prevent leakage during •RCRA Hazardous Pharmaceutical Waste and all DEA Federal and state controlled substances <br /> transport and puncture resistant for sharps.All regulated medical waste must be accompanied by a •Chemicals:Formaldehyde,formalin,acids,alcohol,waste oil,solvents,reagents,fixer developer, <br /> properly completed shipping document(See 49 CFR 172.202). fluorescein <br /> •Compressed Gas Cylinders,Canisters,Inhalers and Aerosol Cans <br /> MANAGEMENT OF NON-CONFORMING WASTE •Hazardous or Universal Waste:Any other waste determined by Federal or State EPA regulations <br /> As required by regulation and company policy,Stericycle employees may refuse containers that are I including but not limited to batteries,bulbs,heavy metals,etc. <br /> non-conforming because of[heir contents or are improperly packaged.leaking,damaged or likely to I •Radioactive Waste:Any containerwith a radioactivity level that exceeds regulatory or permitted I <br /> create a risk of exposure to employees or the general public.Anywaste found to be non—forming to this limits;lead-containing materials _7 <br /> Waste Acceptance Policy identified in route to,or at a.Stericycle location.may be returned to the generator for 1 <br /> proper packaging and disposal,or may be rerouted for appropriate destruction:this may include improperly -Consult Stodcyde Represemanve for spedfic requiramonrs <br /> marked regulated medical waste which should have been identified for incineration(i.e.pathological, Addticnet—le acceptance pabc-may ap*basedon harem permitsgw&,gwemenn.Haza,dws wane tarpon— <br /> chemotherapy or on-hazardous pharmaceuticals.Proper segregation and packaging is essential to ensure maybe offered in certain geogrsphr lloretlons, W+d paraR coruacc Pleasare.0rtoyaw beat Stwigcla ReWezen[aM fm add—d <br /> compliant and safe handling,collection,transportation and treatment of regulated medical waste, bfomation andoprbns forposdble tw dcus w.mehendltng.Foraddidmal cnformarbn on conrainerand lnbelmg raou mmrns cvnrae <br /> em Stedgde Cu.amer Sem'as Oeq nmenr art cussomo.2arev"nedcyeH.com <br /> We protect what matters. 02019Staricycic.Inc.All,ighUresered.iRw.II STC-SQWAP-0319 ��• Stericyde <br /> i <br />